NPIMap

Organization Active NPI

Perry L. Jeffries DDS PA

  • Pediatric Dentistry
  • Greensboro, NC
National Provider Identifier
1427461987
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6832 Issued in NC
Legal business name
PERRY L. JEFFRIES DDS PA
Practice address
714 Summit Ave
Greensboro, NC 27405-7832
Phone
(336) 833-3961
Fax
(866) 407-3096
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Perry L Jeffries, DDS
Title
Owner
Phone
(336) 230-0346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6832 NC Primary

Addresses

Primary practice location

714 Summit Ave
Greensboro, NC 27405-7832

Mailing address

871 Huffman St
Greensboro, NC 27405-7205
Phone (336) 230-0346

Other identifiers 1

IdentifierTypeStateIssuer
1588833131MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Perry L Jeffries DDS PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1427461987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 HUFFMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057205",
            "telephone_number": "336-230-0346",
            "fax_number": "336-230-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057832",
            "telephone_number": "336-833-3961",
            "fax_number": "866-407-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY L. JEFFRIES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-230-0346",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588833131",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.