Kevin D Perruzzi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17113 Issued in MA

Practice address

350 Lincoln Street
Suite 106
Hingham, MA 02043-1579

Phone

(781) 749-9231

Fax

(781) 749-3074

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538257522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LINCOLN STREET",
            "address_2": "SUITE 106",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "781-749-9231",
            "fax_number": "781-749-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LINCOLN STREET",
            "address_2": "SUITE 106",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431579",
            "telephone_number": "781-749-9231",
            "fax_number": "781-749-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRUZZI",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "687120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X05942",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine A Peguero
• Elissa S Peixoto, PA-C
• Sara Pelkey, MSOTR/L
• Christopher M Pellegrino, DMD
• Kristin Penza, PH.D.
• Michelle M Perry, DTR,LDN
• Personal Care Partners Homecare Inc.
• Anh Phan
• Ashley D Piacitelli, BCBA
• Kelly Planter, BCBA

• General Practice Dentistry in Hingham, MA
• Providers in Hingham, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.