Individual provider Active NPI

Perry Allen Wainman, DDS

  • Dentist
  • Greencastle, IN
National Provider Identifier
1295751659
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12006994 Issued in IN
Practice address
18 E Washington St
Greencastle, IN 46135
Phone
(765) 653-8615
Fax
(765) 653-5227
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12006994 IN Primary

Addresses

Primary practice location

18 E Washington St
Greencastle, IN 46135

Mailing address

PO Box 143
Greencastle, IN 46135-0143
Phone (765) 653-8615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160817000847 IN Order and Referring Only - DentistPractitioner - Dentist 1850686783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12006994INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirsch Family Dentistry Past Accepting new patients
Perry a Wainman, DDS PC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295751659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461350143",
            "telephone_number": "765-653-8615",
            "fax_number": "765-653-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E WASHINGTON ST",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "46135",
            "telephone_number": "765-653-8615",
            "fax_number": "765-653-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINMAN",
        "first_name": "PERRY",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12006994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

Verify at the official NPI Registry.