Active NPI
Steven David Perry, D.M.D.
- Dentist
- Farmington, MO
National Provider Identifier
1407385206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10642
- Practice address
- 807 E Karsch Blvd
Farmington, MO 63640-3025 - Phone
- (573) 756-5760
- Fax
- (573) 756-8040
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10642 | OR | Primary |
Addresses
Primary practice location
807 E Karsch Blvd
Farmington, MO 63640-3025
Mailing address
807 E Karsch Blvd
Farmington, MO 63640-3025
Phone (573) 756-5760
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 |
|---|---|---|---|
| D10642 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1407385206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 E KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403025",
"telephone_number": "573-756-5760",
"fax_number": "573-756-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403025",
"telephone_number": "573-756-5760",
"fax_number": "573-756-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "STEVEN",
"middle_name": "DAVID",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.