Individual provider Active NPI

Scott Andrew Perras, DMD

  • General Practice Dentistry
  • Debary, FL
National Provider Identifier
1467584466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15476 Issued in FL
Practice address
50 Spring Vista Dr
Debary, FL 32713-1809
Phone
(386) 753-0036
Fax
(386) 753-0802
NPI assigned
Mar 12, 2007
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 DN15476 FL Primary

Addresses

Primary practice location

50 Spring Vista Dr
Debary, FL 32713-1809

Mailing address

50 Spring Vista Dr
Debary, FL 32713-1809
Phone (386) 753-0036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418002683 FL Order and Referring Only - DentistPractitioner - Dentist 0042573388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467584466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SPRING VISTA DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131809",
            "telephone_number": "386-753-0036",
            "fax_number": "386-753-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SPRING VISTA DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131809",
            "telephone_number": "386-753-0036",
            "fax_number": "386-753-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAS",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.