Active NPI
Adrian Perry, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1538304548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054772-1
- Practice address
- 1475 Walton Ave
5A
Bronx, NY 10452-6566 - Phone
- (615) 714-1683
- NPI assigned
- Dec 4, 2008
- Last updated
- Jan 28, 2010
- 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 | 054772-1 | NY | Primary |
Addresses
Primary practice location
1475 Walton Ave
5A
Bronx, NY 10452-6566
Mailing address
1475 Walton Ave
5A
Bronx, NY 10452-6566
Phone (615) 714-1683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054772-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1538304548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 WALTON AVE",
"address_2": "5A",
"city": "BRONX",
"state": "NY",
"postal_code": "104526566",
"telephone_number": "615-714-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 WALTON AVE",
"address_2": "5A",
"city": "BRONX",
"state": "NY",
"postal_code": "104526566",
"telephone_number": "615-714-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-04",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054772-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.