Organization Active NPI

Perkins Dental, PLLC

  • Dentist
  • Peoria, AZ
National Provider Identifier
1376971895
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERKINS DENTAL, PLLC
Practice address
10200 W Happy Valley Rd
Suite #130
Peoria, AZ 85383-2878
Phone
(623) 561-8700
Fax
(623) 566-5906
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Vaughn E. Perkins III, D.M.D.
Title
Member
Phone
(623) 561-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X AZ Primary

Addresses

Primary practice location

10200 W Happy Valley Rd
Suite #130
Peoria, AZ 85383-2878

Mailing address

10200 W Happy Valley Rd
Suite #130
Peoria, AZ 85383-2878
Phone (623) 561-8700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1376971895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY RD",
            "address_2": "SUITE #130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "623-561-8700",
            "fax_number": "623-566-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY RD",
            "address_2": "SUITE #130",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "623-561-8700",
            "fax_number": "623-566-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-561-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.