Active NPI
Kate E Perham, DMD
- Dentist
- Albany, NY
National Provider Identifier
1174836100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054923
- Practice address
- 1092 Madison Ave
Dental
Albany, NY 12208-2248 - Phone
- (518) 525-1757
- Fax
- (518) 525-5171
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054923 | NY | Primary |
Addresses
Primary practice location
1092 Madison Ave
Dental
Albany, NY 12208-2248
Mailing address
1092 Madison Ave
Dental
Albany, NY 12208-2248
Phone (518) 525-1757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1174836100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 MADISON AVE",
"address_2": "DENTAL",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082248",
"telephone_number": "518-525-1757",
"fax_number": "518-525-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 MADISON AVE",
"address_2": "DENTAL",
"city": "ALBANY",
"state": "NY",
"postal_code": "122082248",
"telephone_number": "518-525-1757",
"fax_number": "518-525-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERHAM",
"first_name": "KATE",
"middle_name": "E",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.