Individual provider Active NPI

Candice Harper Perry, D.M.D.

  • Endodontics
  • Rogers, AR
National Provider Identifier
1265635676
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
37 Issued in AR
Practice address
203 N 24TH St Ste D
Rogers, AR 72756-3206
Phone
(479) 621-0226
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3375-06 MS
General Practice Dentistry 1223G0001X 4076 AR
Endodontics 1223E0200X 37 AR Primary

Addresses

Primary practice location

203 N 24TH St Ste D
Rogers, AR 72756-3206

Mailing address

203 N 24TH St Ste D
Rogers, AR 72756-3206
Phone (479) 621-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37ARMDEndodontist
4076ARMDGeneral Practice Dentistry
3375-06MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Endodontics CurrentSince Sep 1, 2024 Accepting new patients

Locations

203 N 24th St
Ste D
Rogers, AR 72756
Phone (214) 995-0991

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265635676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N 24TH ST STE D",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563206",
            "telephone_number": "479-621-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N 24TH ST STE D",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563206",
            "telephone_number": "479-621-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CANDICE",
        "middle_name": "HARPER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3375-06",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4076",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AR",
            "license": "37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.