Susana Perry, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19731 Issued in FL

Practice address

7000 Sawgrass Village Circle
Ponte Vedra, FL 32082

Phone

(352) 316-7400

NPI assigned

Feb 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ponte Vedra Family Dentistry

  • Dentist
  • Ponte Vedra Beach, FL
  • NPI 1588823033
  NPD (past)
• Ponte Vedra Family Dentistry

  • General Practice Dentistry
  • Ponte Vedra Beach, FL
  • NPI 1700271053

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1386069672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SAWGRASS VILLAGE CIRCLE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-280-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SAWGRASS VILLAGE CIRCLE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "352-316-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Patterson, PHD
• Mary Catharine Penn, ARNP
• Andria U Pennant, MD
• Jonathan Isaiah Perez-Guerra
• Matthew Perez-Smith
• Nicholas D a Peterkin, M.D.
• Alexis Piarulli, D.C.
• Adam Podraza
• Sarah Poe, PT, DPT
• Ponte Vedra Beach Chiropractic Inc

• Pediatric Dentistry in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.