Individual provider Active NPI

Michael C Perna, DDS

  • Dentist
  • Binghamton, NY
National Provider Identifier
1639166952
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045322 Issued in NY
Practice address
55 Oak St
Binghamton, NY 13905-4627
Phone
(607) 722-0832
Fax
(607) 722-1026
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045322 NY Primary

Addresses

Primary practice location

55 Oak St
Binghamton, NY 13905-4627

Mailing address

55 Oak St
Binghamton, NY 13905-4627
Phone (607) 722-0832

Other identifiers 1

IdentifierTypeStateIssuer
01680771MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150326000202 NY Order and Referring Only - DentistPractitioner - Dentist 2567789878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639166952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054627",
            "telephone_number": "607-722-0832",
            "fax_number": "607-722-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054627",
            "telephone_number": "607-722-0832",
            "fax_number": "607-722-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01680771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.