Individual provider Active NPI

Tammy M.E. Perison, D.D.S.

  • General Practice Dentistry
  • West Seneca, NY
National Provider Identifier
1811088735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046824 Issued in NY
Practice address
425 Main St
West Seneca, NY 14224-2822
Phone
(716) 674-5256
Fax
(716) 674-5715
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 046824 NY Primary

Addresses

Primary practice location

425 Main St
West Seneca, NY 14224-2822

Mailing address

425 Main St
West Seneca, NY 14224-2822
Phone (716) 674-5256

Other identifiers 1

IdentifierTypeStateIssuer
000527145002OtherNYBLUECROSSBLUESHIELD WNY

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
046824NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811088735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242822",
            "telephone_number": "716-674-5256",
            "fax_number": "716-674-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242822",
            "telephone_number": "716-674-5256",
            "fax_number": "716-674-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERISON",
        "first_name": "TAMMY",
        "middle_name": "M.E.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD WNY",
            "identifier": "000527145002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.