Active NPI
Warren Seipp Perry Jr., D.D.S.
- General Practice Dentistry
- Kinston, NC
National Provider Identifier
1477584852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4525
- Practice address
- 400 Glenwood Ave
Suite 17
Kinston, NC 28501-3851 - Phone
- (252) 523-4927
- Fax
- (252) 523-4078
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4525 | NC | Primary |
Addresses
Primary practice location
400 Glenwood Ave
Suite 17
Kinston, NC 28501-3851
Mailing address
400 Glenwood Ave
Suite 17
Kinston, NC 28501-3851
Phone (252) 523-4927
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8996833 | Medicaid | NC | |
| 4525 | Other | NC | STATE LISENCE |
| 96833 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 5, 2016 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4525 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477584852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GLENWOOD AVE",
"address_2": "SUITE 17",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013851",
"telephone_number": "252-523-4927",
"fax_number": "252-523-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GLENWOOD AVE",
"address_2": "SUITE 17",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013851",
"telephone_number": "252-523-4927",
"fax_number": "252-523-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "WARREN",
"middle_name": "SEIPP",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8996833",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISENCE",
"identifier": "4525",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96833",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.