Individual provider Active NPI

Dennis W Perkins, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Marion, VA
National Provider Identifier
1174637821
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000156 Issued in VA
Practice address
645 Park Blvd
Marion, VA 24354
Phone
(276) 783-8131
Fax
(276) 783-1839
NPI assigned
Aug 19, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410162 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000156 VA Primary

Addresses

Primary practice location

645 Park Blvd
Marion, VA 24354

Mailing address

645 Park Blvd
Marion, VA 24354
Phone (276) 783-8131

Other identifiers 1

IdentifierTypeStateIssuer
15087MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001551 VA Practitioner - Oral Surgery 7416140207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

645 Park Blvd
Marion, VA 24354-4223
Phone (276) 783-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0438000156VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Oral & Maxillofacial Surgery LTD Oral and Maxillofacial Surgery CurrentSince Sep 21, 1992 Accepting new patients

Locations

645 Park Blvd
Marion, VA 24354
Phone (276) 783-8131

470 W Spring St
Wytheville, VA 24382
Phone (276) 223-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1174637821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-8131",
            "fax_number": "276-783-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PARK BLVD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-8131",
            "fax_number": "276-783-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410162",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15087",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.