Michael J Perpich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MN9460 Issued in MN

Practice address

4940 Viking Dr Ste 127
Edina, MN 55435-5306

Phone

(952) 835-3383

Fax

(952) 835-2818

NPI assigned

Oct 10, 2006

Sex

Male

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 MN

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

Practice roles

Interoperability endpoints

• Direct secure messaging: mperpich719448@direct.ochin.org

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

• Pentagon Dental Group, LTD

  • General Practice Dentistry
  • Edina, MN
  • NPI 1629166566
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255428165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIKING DR STE 127",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355306",
            "telephone_number": "952-835-3383",
            "fax_number": "952-835-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERPICH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "MN9460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Pendleton, M.D.
• Pentagon Dental Group, LTD
• Alexandra Nicole Perez Perez, MD
• Aaron Pergolski, RCEP
• Douglas L Pernula, DC
• Shannon M Perron, RD, LD, CDE
• Paige Persch, MD
• Elise Mary Pesch, DNP
• James Frederick Peters, MD
• Stephanie Peters

• General Practice Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.