Active NPI
David Pereira
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1699181305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11212
- Practice address
- 1990 W Main St
Stamford, CT 06902-4563 - Phone
- (203) 327-1100
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11212 | CT | Primary |
Addresses
Primary practice location
1990 W Main St
Stamford, CT 06902-4563
Mailing address
1990 W Main St
Stamford, CT 06902-4563
Phone (203) 327-1100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11212 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1699181305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 W MAIN ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024563",
"telephone_number": "203-327-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 W MAIN ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024563",
"telephone_number": "203-327-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "11212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
- Maria Pensiero
- Heather Pentland, L.AC.
- Jeffrey J Pepe, PHARM.D., RPH
- Martina Pepin
- Alexandra Pereira, RDN
- Stephanie Perell
- Jazzeline Nicole Perez, DPT
- Performance Physical Therapy of CT (performance Physical Therapy)
- Performance Physical Therapy of Stamford LLC (Performance Physical Therapy of Stamford)
- Peter M Perimenis, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.