Douglas W Perry DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DOUGLAS W PERRY DDS PA

Practice address

181 Perry Long Rd
Hertford, NC 27944

Phone

(252) 426-9140

Fax

(252) 426-1270

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas White Perry, DDS

Title

Owner Operator

Phone

(252) 426-9140

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1861565640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 PERRY LONG RD",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "27944",
            "telephone_number": "252-426-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PERRY LONG RD",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "27944",
            "telephone_number": "252-426-9140",
            "fax_number": "252-426-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W PERRY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "252-426-9140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF DENTAL EXAMIN",
            "identifier": "NC5864",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96837",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.