Active NPI
Donald Ross Perry, D.D.S.
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1346339991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4662
- Practice address
- 2102 N Pearl St Ste 202
Tacoma, WA 98406-2550 - Phone
- (253) 752-9833
- Fax
- (253) 752-0282
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4662 | WA | Primary |
Addresses
Primary practice location
2102 N Pearl St Ste 202
Tacoma, WA 98406-2550
Mailing address
65 Raft Island Dr NW
Gig Harbor, WA 98335-5918
Phone (253) 752-9833
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4662 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ge Dent DDS PS | Past | 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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346339991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 RAFT ISLAND DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983355918",
"telephone_number": "253-752-9833",
"fax_number": "253-752-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N PEARL ST STE 202",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062550",
"telephone_number": "253-752-9833",
"fax_number": "253-752-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DONALD",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "4662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.