Paul M Perpich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9410 Issued in MN

Practice address

5461 City Hall
Nisswa, MN 56468

Phone

(218) 963-4448

Fax

(218) 546-5809

NPI assigned

Apr 24, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Paul Perpich, DDS

  • Preferred Provider Organization
  • Nisswa, MN
  • NPI 1306207113
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679792147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680008",
            "telephone_number": "218-963-4448",
            "fax_number": "218-546-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 CITY HALL",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "56468",
            "telephone_number": "218-963-4448",
            "fax_number": "218-546-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERPICH",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9410",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRO BCBS",
            "identifier": "IRO83A16PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIS BCBS",
            "identifier": "845660PE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisswa Dental
• Northern Hope Better Balance
• Northern Hope Functional Neurology and Chiropractic
• Partners in Conversation
• Paul Perpich, DDS
• Jessica Peterson, DDS
• Heather Noel Pierce
• Pine River Eye Center, Inc.
• John Charles Redebaugh, D.C.
• Mallori Ann Sheik, LICSW

• General Practice Dentistry in Nisswa, MN
• Providers in Nisswa, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.