Individual provider Active NPI

Calley Jo Perry, DMD

  • Dentist
  • Dry Ridge, KY
National Provider Identifier
1639192289
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9158 Issued in KY
Practice address
99 S Main St
Dry Ridge, KY 41035-7343
Phone
(859) 785-5717
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7742 TN
Dentist 122300000X 7742 TN
Dentist 122300000X 9158 KY Primary

Addresses

Primary practice location

99 S Main St
Dry Ridge, KY 41035-7343

Mailing address

PO Box 23012
Lexington, KY 40523-3012
Phone (859) 785-5717

Other identifiers 3

IdentifierTypeStateIssuer
7101099610MedicaidKY
17883MedicaidTN
5441234MedicaidTN

Other names 1

  • Dr. Calley Jo Perry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251027002649 KY Practitioner - Dentist 0345739827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Louisville School of Dentistry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9158KYMDDentist
7742TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MFDC of Ky LLC Dentist CurrentSince Nov 30, 2025 Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Aug 22, 2025 Accepting new patients
Healthfirst Bluegrass Inc Current Accepting new patients
Covenant Dental, PLLC General Practice PastSince May 18, 2025 Accepting new patients
Tennessee Dental Professionals, PC General Practice Past Accepting new patients

Locations

99 S Main St
Dry Ridge, KY 41035
Phone (859) 325-5655

1060 Goodwin Dr
#110
Lexington, KY 40505

350 N Limestone
Lexington, KY 40508
Phone (859) 381-3203

555 E Fifth St
Lexington, KY 40508
Phone (859) 252-2371

1640 Bryan Station Rd
Ste 1
Lexington, KY 40505

122 Arceme Ave
Lexington, KY 40505

161 Bruce St
Lexington, KY 40507
Phone (859) 381-3418

1113 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3606

551 Parkside Dr
Lexington, KY 40505
Phone (859) 381-3512

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

218 Mandalay Rd
Lexington, KY 40504
Phone (859) 381-3340

1111 Centre Pkwy
Lexington, KY 40517
Phone (859) 381-3620

2101 Saint Mathilda Dr
Lexington, KY 40502
Phone (859) 381-3273

707 Howard St
Lexington, KY 40508
Phone (859) 381-3263

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1639192289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23012",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405233012",
            "telephone_number": "859-785-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MAIN ST",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410357343",
            "telephone_number": "859-785-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CALLEY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "7742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101099610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17883",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441234",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLEY",
            "last_name": "PERRY",
            "middle_name": "JO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dry Ridge, KY

Sources for this page

Verify at the official NPI Registry.