Frank Michael Peretta, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

030214 Issued in NY

Practice address

666 Lexington Ave
Suite 203
Mount Kisco, NY 10549-3632

Phone

(914) 241-1556

Fax

(914) 241-1382

NPI assigned

Apr 14, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629293881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE",
            "address_2": "SUITE 203",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493632",
            "telephone_number": "914-241-1556",
            "fax_number": "914-241-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVE",
            "address_2": "SUITE 203",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493632",
            "telephone_number": "914-241-1556",
            "fax_number": "914-241-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTA",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "030214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC #",
            "identifier": "030214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pence, MD
• Elizabeth Adams Pendleton
• Andona Pepic, BSW
• Renee Pepper
• Ronald A Peragallo, RPH
• Amanda Perez, OTD, OTR/L
• Dean Cosmo Perfetti, M.D., M.P.H.
• Martin Perlin, MD
• Stephanie Perruzza, R.D.
• Charles Perry, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.