Organization Active NPI

Paul Perpich, DDS

  • Preferred Provider Organization
  • Nisswa, MN
National Provider Identifier
1306207113
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
9410 Issued in MN
Legal business name
PAUL PERPICH, DDS
Practice address
5461 City Hall St
Nisswa, MN 56468-2478
Phone
(218) 546-5809
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Dr. Paul M Perpich, DDSNPI 1679792147
Title
Dentist/Owner
Phone
(218) 546-5809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9410 MN Primary

Addresses

Primary practice location

5461 City Hall St
Nisswa, MN 56468-2478

Mailing address

PO Box 464
338 Curtis Ave.
Ironton, MN 56455
Phone (218) 546-5809

National Provider Directory

National Provider Directory

Locations

5461 City Hall St
Nisswa, MN 56468
Phone (218) 546-5809

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1306207113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "address_2": "338 CURTIS AVE.",
            "city": "IRONTON",
            "state": "MN",
            "postal_code": "56455",
            "telephone_number": "218-546-5809",
            "fax_number": "218-772-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 CITY HALL ST",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682478",
            "telephone_number": "218-546-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PERPICH, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "PERPICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "218-546-5809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "9410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.