NPIMap

Organization Active NPI

Perry L. Jeffries DDS PA

  • Dentist
  • Greensboro, NC
National Provider Identifier
1588833131
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6832 Issued in NC
Legal business name
PERRY L. JEFFRIES DDS PA
Practice address
871 Huffman St
Greensboro, NC 27405-7205
Phone
(336) 230-0346
Fax
(336) 230-0348
NPI assigned
Feb 28, 2008
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Perry L Jeffries, DDSNPI 1932255882
Title
Owner/DDS
Phone
(336) 230-0346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6832 NC Primary

Addresses

Primary practice location

871 Huffman St
Greensboro, NC 27405-7205

Mailing address

871 Huffman St
Greensboro, NC 27405-7205
Phone (336) 230-0346

Other identifiers 2

IdentifierTypeStateIssuer
90132OtherNCBCBS
5907507MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Perry L Jeffries DDS PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1588833131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 HUFFMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057205",
            "telephone_number": "336-230-0346",
            "fax_number": "336-230-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 HUFFMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057205",
            "telephone_number": "336-230-0346",
            "fax_number": "336-230-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY L. JEFFRIES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "336-230-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90132",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907507",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2009; 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.