Active NPI
Judy Perry, RDH
- Dental Hygienist
- Berkley, MI
National Provider Identifier
1346759313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902018233
- Practice address
- 2741 12 Mile Rd
Berkley, MI 48072-1629 - Phone
- (248) 439-0088
- Fax
- (248) 439-2900
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902018233 | MI | Primary |
Addresses
Primary practice location
2741 12 Mile Rd
Berkley, MI 48072-1629
Mailing address
2741 12 Mile Rd
Berkley, MI 48072-1629
Phone (248) 439-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780096792 | Medicaid | MI |
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 |
|---|---|---|---|
| 2902018233 | MI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hygienist Recommended Inc | Dental Hygienist | 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": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346759313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721629",
"telephone_number": "248-439-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721629",
"telephone_number": "248-439-0088",
"fax_number": "248-439-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JUDY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902018233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780096792",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.