Individual provider Active NPI

Jardine Carter Perkins Jr., DMD

  • General Practice Dentistry
  • Dunnellon, FL
National Provider Identifier
1720114382
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11180 Issued in FL
Practice address
11653 N Williams St
Dunnellon, FL 34432-5890
Phone
(352) 489-8433
Fax
(352) 489-8477
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN11180 FL Primary

Addresses

Primary practice location

11653 N Williams St
Dunnellon, FL 34432-5890

Mailing address

11653 N Williams St
Dunnellon, FL 34432-5890
Phone (352) 489-8433

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

LicenseStateTypeSpecialty
DN11180FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Dentistry, Inc General Practice Past Accepting new patients
Dunnellon Center for Complete Dentistry PA PastSince May 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1720114382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11653 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-489-8433",
            "fax_number": "352-489-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-489-8433",
            "fax_number": "352-489-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JARDINE",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.