Jillian Elizabeth Perry, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901021228 Issued in MI

Practice address

1000 Greg Kruschek Ave
Nome, AK 99762-9998

Phone

(907) 443-3309

Fax

(907) 443-3466

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1245648237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2136",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997622136",
            "telephone_number": "907-434-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997629998",
            "telephone_number": "907-443-3309",
            "fax_number": "907-443-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JILLIAN",
        "middle_name": "ELIZABETH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunina Patel
• Akshay Sanjay Patil, OD
• Elsie Pelowook
• Samantha Penayah
• Darcee A Perkins, BSN, RN, CLC
• Margaret Pete
• Sonny Pete
• Winifred Pete
• Ashley Tucker Peterson, PA-C
• Dessie Pierce, MA LPC

• Dentist in Nome, AK
• Providers in Nome, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.