Michael Perry, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019-019-666 Issued in IL

Practice address

21136 Washington Pkwy
Frankfort, IL 60423-3112

Phone

(815) 469-6767

Fax

(815) 469-7641

NPI assigned

Sep 6, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 3, 2016 through Jun 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• DBM Dental LTD

  • Dentist
  • Frankfort, IL
  • NPI 1184799611
  NPD (past) Authorized official
• Angelica Sanchez DDS P.C.

  • General Practice Dentistry
  • Frankfort, IL
  • NPI 1083467302
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1629359542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21136 WASHINGTON PKWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-469-6767",
            "fax_number": "815-469-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21136 WASHINGTON PKWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-469-6767",
            "fax_number": "815-469-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-019-666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Ann Pentek
• Michael P Perejda, RPH
• Clara T Perez, MD
• Stephanie Perez
• Robert Permut, M.D.
• Joana Marie Persiani, ATS
• Personal Solutions Counseling
• Personal Solutions Counseling, PC
• Virginia Pesa, LCPC
• Jaime Ann Pettenon, DMD

• Dentist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.