Organization Active NPI

Moyneur and Perisho Dental Corporation

Doing business as Moyneur and Perisho Family Dentistry

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1235506494
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOYNEUR AND PERISHO DENTAL CORPORATION
Doing business as
Moyneur and Perisho Family Dentistry
Practice address
7210 Greenhaven Dr Ste D
Sacramento, CA 95831-3576
Phone
(916) 421-4686
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Joshua Perisho, DDSNPI 1558616334
Title
President
Phone
(916) 421-4686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7210 Greenhaven Dr Ste D
Sacramento, CA 95831-3576

Mailing address

7210 Greenhaven Dr Ste D
Sacramento, CA 95831-3576
Phone (916) 421-4686

Other names 1

  • Moyneur and Perisho Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7210 Greenhaven Dr
Ste D
Sacramento, CA 95831
Phone (916) 421-4686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1235506494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 GREENHAVEN DR STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313576",
            "telephone_number": "916-421-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 GREENHAVEN DR STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313576",
            "telephone_number": "916-421-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOYNEUR AND PERISHO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "PERISHO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-421-4686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moyneur and Perisho Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.