Gabriel R Perjessy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1305 Issued in MT

Legal business name

GABRIEL R PERJESSY

Practice address

1250 Burns Way
Suite 2
Kalispell, MT 59901-3140

Phone

(406) 752-6776

Fax

(406) 752-6771

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Gabriel R. Perjessy, DDS

Title

Dentist

Phone

(406) 752-6776

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1497908305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BURNS WAY",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013140",
            "telephone_number": "406-752-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BURNS WAY",
            "address_2": "SUITE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013140",
            "telephone_number": "406-752-6776",
            "fax_number": "406-752-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL R PERJESSY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "PERJESSY",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-752-6776",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.