Perla Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24486 Issued in TX

Legal business name

PERLA ORTHODONTICS PC

Practice address

692 W Pioneer Pkwy
Grand Prairie, TX 75051-4809

Phone

(972) 504-2000

Fax

(888) 302-6633

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin R Walder, DDS

Title

President, Owner

Phone

(310) 413-8899

Specialties & licenses 1

Addresses

Tax ID family

Perla Orthodontics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Perla Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Desoto, TX
  • NPI 1952604522
  NPD tax ID

Locations

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1356645774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S FM 548 STE A",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264130",
            "telephone_number": "972-215-7645",
            "fax_number": "888-302-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 W PIONEER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514809",
            "telephone_number": "972-504-2000",
            "fax_number": "888-302-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "WALDER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "310-413-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Perez, PHARMD
• Juan R Perez, LPC
• Perfection Hospice Care Incorporated
• Perfection Housecalls of Texas LLC
• Perla Dental PA
• Casey Renee Perry-Sabti, LCSW
• Mahalia Perry, BCBA
• James David Peters, D.O.
• Patrice Leeann Pezzullo, RN
• PGP PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.