Individual provider Active NPI

Iroshini Jeanne Perera, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sacramento, CA
National Provider Identifier
1639563430
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
64369 Issued in CA
Practice address
4690 Natomas Blvd Ste 130
Sacramento, CA 95835-2230
Phone
(916) 419-5435
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 64369 CA Primary

Addresses

Primary practice location

4690 Natomas Blvd Ste 130
Sacramento, CA 95835-2230

Mailing address

8505 Berg St Ste 150
Granite Bay, CA 95746-9067
Phone (408) 368-1608

Other practice location 1

8505 Berg St Ste 150
Granite Bay, CA 95746-9067
Phone (415) 269-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iroshini Perera D.D.S. Inc Dba Elevate Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Oct 12, 2025 Accepting new patients

Locations

8505 Berg St
Ste 150
Granite Bay, CA 95746
Phone (916) 269-0001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1639563430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 BERG ST STE 150",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469067",
            "telephone_number": "408-368-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 NATOMAS BLVD STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352230",
            "telephone_number": "916-419-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8505 Berg St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957469067",
            "country_code": "US",
            "telephone_number": "415-269-0001",
            "fax_number": "415-269-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERERA",
        "first_name": "IROSHINI",
        "middle_name": "JEANNE",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "64369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.