Carmella B Perry, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019019877 Issued in IL

Practice address

2711 Flossmoor Rd
Flossmoor, IL 60422-1141

Phone

(708) 799-9755

Fax

(707) 799-8377

NPI assigned

Jan 16, 2007

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: carmella.barrett@direct.ccprovider.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Kids Dental Center, LLC

  • General Practice Dentistry
  • Melrose Park, IL
  • NPI 1003246927

  Pediatric Dentistry

  NPD (past)
• Mobile Anesthesiologists Chicago LLC

  • Anesthesiology Physician
  • Rosemont, IL
  • NPI 1396887774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1356492276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FLOSSMOOR RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221141",
            "telephone_number": "708-799-9755",
            "fax_number": "707-799-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 FLOSSMOOR RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221141",
            "telephone_number": "708-799-9755",
            "fax_number": "707-799-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CARMELLA",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019019877",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmella.barrett@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peaceful Haven Assisted Living, LLC
• Michael R Peck, M.D.
• Performace Dental Care Il PC
• Performance Dental Care (7-7 Dental of Flossmoor)
• Cressa K Perish, M.D.
• Michaele Xuan-Anh Phan, PHARMD
• Catherine Phillips, MS, RDN, LDN
• Physicals Plus, Inc
• Lata Pillai, PT, CLT-LANA
• Yolanda Lea Pinkney, LPC

• Dentist in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.