Active NPI
Mark Duane Perry
- General Practice Dentistry
- New Boston, TX
National Provider Identifier
1245500099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16865
- Legal business name
- MARK DUANE PERRY
- Practice address
- 104 Tyson St
New Boston, TX 75570-2820 - Phone
- (903) 628-3312
- Fax
- (903) 628-5631
- NPI assigned
- Jan 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Duane Perry, DDS
- Title
- Doctor
- Phone
- (903) 628-3312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16865 | TX | Primary |
Addresses
Primary practice location
104 Tyson St
New Boston, TX 75570-2820
Mailing address
104 Tyson
New Boston, TX 75570-2028
Phone (903) 628-3312
National Provider Directory
National Provider DirectoryLocations
104 Tyson St
New Boston, TX 75570
Phone (903) 628-3312
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New Boston, TX
- NPI 1316005713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1245500099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TYSON",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702028",
"telephone_number": "903-628-3312",
"fax_number": "903-628-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 TYSON ST",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702820",
"telephone_number": "903-628-3312",
"fax_number": "903-628-5631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK DUANE PERRY",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DUANE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "903-628-3312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "16865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Boston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.