Organization Active NPI

Rachel Perenits DDS PA

Doing business as Atlantis Dentistry

  • Dentist
  • Greensboro, NC
National Provider Identifier
1558566836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7315 Issued in NC
Legal business name
RACHEL PERENITS DDS PA
Doing business as
Atlantis Dentistry
Practice address
1002 N Church St
Suite 402
Greensboro, NC 27401-1439
Phone
(919) 361-1998
Fax
(919) 484-7432
NPI assigned
Jun 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rachel West Perentis, DDS
Title
Dentist
Phone
(919) 361-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7315 NC Primary

Addresses

Primary practice location

1002 N Church St
Suite 402
Greensboro, NC 27401-1439

Mailing address

1002 N Church St
Suite 402
Greensboro, NC 27401-1439
Phone (919) 361-1998

Other identifiers 1

IdentifierTypeStateIssuer
89014R6MedicaidNC

Other names 1

  • Atlantis Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1002 N Church St
Ste 402
Greensboro, NC 27401
Phone (336) 335-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558566836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "SUITE 402",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "919-361-1998",
            "fax_number": "919-484-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "SUITE 402",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "919-361-1998",
            "fax_number": "919-484-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL PERENITS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERENTIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-361-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014R6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantis Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.