Active NPI
Kasey Scott Perry, D.D.S.
- General Practice Dentistry
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59560
- Practice address
- 847 W Childs Ave
Merced, CA 95341-6862 - Phone
- (209) 383-5764
- Fax
- (209) 383-6624
- NPI assigned
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59560 | CA | Primary |
Addresses
Primary practice location
847 W Childs Ave
Merced, CA 95341-6862
Mailing address
4115 Heritage Ave
Clovis, CA 93619
Phone (559) 906-7341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59560 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Willow Sleep Health Dental Group, SE Anderson, DDS Inc. | Past | Accepting new patients | |
| Willow Dental Group | Past | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
Organizations & group practices 16
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.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Federally Qualified Health Center (FQHC)
- Planada, CA
- NPI 1235114745
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1346224417
-
- Federally Qualified Health Center (FQHC)
- Le Grand, CA
- NPI 1356325310
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1508333253
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1518298306
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1528042512
-
- Federally Qualified Health Center (FQHC)
- Newman, CA
- NPI 1689658668
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1730163734
-
- Federally Qualified Health Center (FQHC)
- Dos Palos, CA
- NPI 1770567778
-
- Federally Qualified Health Center (FQHC)
- Westley, CA
- NPI 1770568347
-
- Federally Qualified Health Center (FQHC)
- Patterson, CA
- NPI 1922082007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1861708554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 HERITAGE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93619",
"telephone_number": "559-906-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416862",
"telephone_number": "209-383-5764",
"fax_number": "209-383-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KASEY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-19",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.