Individual provider Active NPI

Larry F Perkins, DDS, PA

  • General Practice Dentistry
  • Wesley Chapel, NC
National Provider Identifier
1386667004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6371 Issued in NC
Practice address
5922 Weddington Monroe Rd
Suite a-2
Wesley Chapel, NC 28104-8202
Phone
(704) 843-5757
Fax
(704) 843-5041
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6371 NC Primary

Addresses

Primary practice location

5922 Weddington Monroe Rd
Suite a-2
Wesley Chapel, NC 28104-8202

Mailing address

5922 Weddington Monroe Rd
Suite a-2
Wesley Chapel, NC 28104-8202
Phone (704) 843-5757

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6371NCMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386667004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 WEDDINGTON MONROE RD",
            "address_2": "SUITE A-2",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281048202",
            "telephone_number": "704-843-5757",
            "fax_number": "704-843-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 WEDDINGTON MONROE RD",
            "address_2": "SUITE A-2",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281048202",
            "telephone_number": "704-843-5757",
            "fax_number": "704-843-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "LARRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.