Individual provider Active NPI

Andrew T Perry, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1336467828
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8753 Issued in NC
Practice address
6829 Falls of Neuse Rd Ste 106
Raleigh, NC 27615-5385
Phone
(919) 870-5905
Fax
(919) 870-8194
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8753 NC
General Practice Dentistry 1223G0001X 8753 NC Primary

Addresses

Primary practice location

6829 Falls of Neuse Rd Ste 106
Raleigh, NC 27615-5385

Mailing address

6829 Falls of Neuse Rd Ste 106
Raleigh, NC 27615-5385
Phone (919) 870-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 30, 2015 through Dec 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8753NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
G. Michael Woodard DDS PA General Practice PastSince Sep 15, 2019 Accepting new patients
Davis and Perry, DDS, PLLC General Practice PastSince Sep 15, 2019 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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1336467828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 FALLS OF NEUSE RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155385",
            "telephone_number": "919-870-5905",
            "fax_number": "919-870-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 FALLS OF NEUSE RD STE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155385",
            "telephone_number": "919-870-5905",
            "fax_number": "919-870-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ANDREW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-10",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "8753",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.