Active NPI
David Mason Perry, DDS
- Pediatric Dentistry
- Alameda, CA
National Provider Identifier
1356486856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22170
- Practice address
- 1105 Atlantic Ave Ste 101
Alameda, CA 94501-1185 - Phone
- (510) 521-5437
- Fax
- (510) 865-1576
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22170 | CA | Primary |
Addresses
Primary practice location
1105 Atlantic Ave Ste 101
Alameda, CA 94501-1185
Mailing address
1105 Atlantic Ave Ste 101
Alameda, CA 94501-1185
Phone (510) 521-5016
Other practice location 1
2125 Whitehall Place
Alameda, CA 94501
Phone (510) 521-5016
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D22170 | Other | CA | HEALTHY FAMILIES |
| B22170 | Other | CA | DENTI CAL |
| 040448 | Other | UNITED CONCORDIA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M. Perry, DDS, Sharine Thenard, DDS, and Mylinh Ngo, DMD, Inc. | Pediatric Dentistry | Current | Accepting new patients |
Locations
1105 Atlantic Ave
Ste 101
Alameda, CA 94501
Phone (510) 521-5016
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.
-
- Pediatric Dentistry
- Alameda, CA
- NPI 1952660219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356486856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011185",
"telephone_number": "510-521-5016",
"fax_number": "510-865-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011185",
"telephone_number": "510-521-5437",
"fax_number": "510-865-1576"
}
],
"practiceLocations": [
{
"address_1": "2125 Whitehall Place",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "94501",
"country_code": "US",
"telephone_number": "510-521-5016",
"fax_number": "510-522-8283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "DAVID",
"middle_name": "MASON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "22170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES",
"identifier": "D22170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "B22170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "040448",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
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.