Individual provider Active NPI

P. Joseph Perrotti, DMD

  • Dentist
  • Scranton, PA
National Provider Identifier
1255429478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS024772L Issued in PA
Practice address
315 N Main Ave
Scranton, PA 18504-1785
Phone
(570) 343-7272
Fax
(570) 347-5177
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS024772L PA Primary

Addresses

Primary practice location

315 N Main Ave
Scranton, PA 18504-1785

Mailing address

315 N Main Ave
Scranton, PA 18504-1785
Phone (570) 343-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160517002574 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6002105863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JC Century Dental SCR II, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255429478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185041785",
            "telephone_number": "570-343-7272",
            "fax_number": "570-347-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185041785",
            "telephone_number": "570-343-7272",
            "fax_number": "570-347-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTI",
        "first_name": "P.",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024772L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.