Active NPI
Jessica Lyn Perry, RDH
- Dental Hygienist
- Malone, NY
National Provider Identifier
1376791095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 025395
- Practice address
- 133 Park St
Malone, NY 12953-1243 - Phone
- (518) 481-2347
- NPI assigned
- Sep 6, 2008
- 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 | 025395 | NY | Primary |
Addresses
Primary practice location
133 Park St
Malone, NY 12953-1243
Mailing address
10 Wheeler Ave
Malone, NY 12953-1636
Phone (518) 483-7366
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 |
|---|---|---|---|
| 025395 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220659200000",
"number": "1376791095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WHEELER AVE",
"city": "MALONE",
"state": "NY",
"postal_code": "129531636",
"telephone_number": "518-483-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 PARK ST",
"city": "MALONE",
"state": "NY",
"postal_code": "129531243",
"telephone_number": "518-481-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JESSICA",
"middle_name": "LYN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-06",
"last_updated": "2008-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "025395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.