NPIMap

Organization Active NPI

Perry L. Jeffries DDS, PA

  • Pediatric Dentistry
  • Durham, NC
National Provider Identifier
1801036801
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6832 Issued in NC
Legal business name
PERRY L. JEFFRIES DDS, PA
Practice address
1208 Riddle Rd Ste B
Durham, NC 27713-1365
Phone
(919) 667-1680
Fax
(919) 667-1684
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Perry Lee Jeffries, DDS
Title
DDS Owner
Phone
(919) 667-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 6832 NC Primary

Addresses

Primary practice location

1208 Riddle Rd Ste B
Durham, NC 27713-1365

Mailing address

1208 Riddle Rd Ste B
Durham, NC 27713-1365
Phone (919) 667-1680

Other identifiers 1

IdentifierTypeStateIssuer
5907508MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Perry L Jeffries DDS PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1208 Riddle Rd
Ste B
Durham, NC 27713
Phone (919) 667-1680

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1801036801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 RIDDLE RD STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131365",
            "telephone_number": "919-667-1680",
            "fax_number": "919-667-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 RIDDLE RD STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131365",
            "telephone_number": "919-667-1680",
            "fax_number": "919-667-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY L. JEFFRIES DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DDS OWNER",
        "authorized_official_telephone_number": "919-667-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907508",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.