Douglas Luther Perkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007083 Issued in WA

Practice address

206 Front St N
Issaquah, WA 98027-3232

Phone

(425) 392-3744

NPI assigned

Oct 1, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 13, 2016 through May 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770676066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273232",
            "telephone_number": "425-392-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273232",
            "telephone_number": "425-392-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DOUGLAS",
        "middle_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5023924",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Pechmagre, LMT
• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics (Pine Lake)
• Pediatric Speech & Lang Assocs
• Frida Rineth Pena Benitez, MD
• Juanjuan Peng
• Peter D.a. Huysing, DMD, PLLC (Issaquah Dental Arts)
• Nicole Peter
• Dmitry Peysakhov, D.M.D.
• Lele Pham, RPH
• Phenix Physical Therapy & Personal Wellness, LLC

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.