Bryan Todd Persinger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6858 Issued in NC

Practice address

982 Lee Ann Dr NE
Concord, NC 28025-2957

Phone

(704) 795-1055

Fax

(704) 795-6743

NPI assigned

Dec 13, 2006

Last updated

Jun 9, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan T. Persinger DDS PA II

  dba Waterside Dental Care

  • General Practice Dentistry
  • Denver, NC
  • NPI 1043712854
  NPD Authorized official
• Bryan T. Persinger DDS PA

  • General Practice Dentistry
  • Concord, NC
  • NPI 1891857470
  Authorized official Same address or phone
• Bryan T Persinger DDS PLLC III

  dba Northcross Dental Care

  • General Practice Dentistry
  • Huntersville, NC
  • NPI 1194536136
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1619039286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LEE ANN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252911",
            "telephone_number": "704-795-1055",
            "fax_number": "704-795-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 LEE ANN DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252957",
            "telephone_number": "704-795-1055",
            "fax_number": "704-795-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "BRYAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Perkins
• Zoe Catherine Perrin, LCHMCA
• Erin Elizabeth Perrotti, NP
• Jennifer Suzette Perry, MD
• Melsia Perry, MA,QP,'LPC APLICANT'
• Breanna Peters
• Christopher Peters, M.S.
• Jamie Leigh Peters, LMFTA
• Emily Peterson
• Porter K. Peterson, MD

• General Practice Dentistry in Concord, NC
• Providers in Concord, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.