Active NPI
Kate E. Perham DMD PC
- Dental Clinic/Center
- Gloversville, NY
National Provider Identifier
1508254871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 054923
- Legal business name
- KATE E. PERHAM DMD PC
- Practice address
- 15 Maple Ave
Gloversville, NY 12078-1413 - Phone
- (518) 773-7584
- Fax
- (518) 725-0845
- NPI assigned
- Jan 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kate E Perham, DMD
- Title
- Dentist
- Phone
- (518) 773-7584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 054923 | NY | Primary |
Addresses
Primary practice location
15 Maple Ave
Gloversville, NY 12078-1413
Mailing address
15 Maple Ave
Gloversville, NY 12078-1413
Phone (518) 773-7584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03276464 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
15 Maple Ave
Gloversville, NY 12078
Phone (518) 773-7584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1508254871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MAPLE AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781413",
"telephone_number": "518-773-7584",
"fax_number": "518-725-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MAPLE AVE",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781413",
"telephone_number": "518-773-7584",
"fax_number": "518-725-0845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATE E. PERHAM DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "PERHAM",
"authorized_official_first_name": "KATE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "518-773-7584",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "054923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03276464",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.