Carmella B Perry, DDS
Individual provider Active NPI Dentist · Flossmoor, IL
NPI 1356492276 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1356492276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019019877 (IL)
- Practice address
- 2711 Flossmoor Rd
Flossmoor, IL 60422-1141 - Phone
- (708) 799-9755
- Fax
- (707) 799-8377
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Anesthesiologists Chicago LLC | Past | Accepting new patients | |
| All Kids Dental Center, LLC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- carmella.barrett@direct.ccprovider.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019019877 | IL | |
| Dentist | 122300000X | 019019877 | IL | Yes |
Addresses
Primary practice location
2711 Flossmoor Rd
Flossmoor, IL 60422-1141
Mailing address
2711 Flossmoor Rd
Flossmoor, IL 60422-1141
Phone (708) 799-9755
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carmella.barrett@direct.ccprovider.org | Direct | Cook County |
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.