Individual provider Active NPI

Alokh Persha, DMD

  • General Practice Dentistry
  • Meriden, CT
National Provider Identifier
1275713216
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009712 Issued in CT
Practice address
490-19 South Broadway St
Aspen Dental
Meriden, CT 06450-0000
Phone
(203) 237-1000
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009712 CT Primary

Addresses

Primary practice location

490-19 South Broadway St
Aspen Dental
Meriden, CT 06450-0000

Mailing address

490-19 South Broadway St
Aspen Dental
Meriden, CT 06450-0000
Phone (203) 237-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20170302000006 NH Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4587948922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009712CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alokh Persha DMD PLLC Current 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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1275713216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490-19 SOUTH BROADWAY ST",
            "address_2": "ASPEN DENTAL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064500000",
            "telephone_number": "203-237-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490-19 SOUTH BROADWAY ST",
            "address_2": "ASPEN DENTAL",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064500000",
            "telephone_number": "203-237-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHA",
        "first_name": "ALOKH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.