Organization Active NPI

Kate E. Perham DMD PC

  • Dental Clinic/Center
  • Gloversville, NY
National Provider Identifier
1508254871
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
054923 Issued in NY
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

Updated by the provider on Jan 8, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03276464MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.