Active NPI
Peter M Perimenis, DDS
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1891827028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7545
- Practice address
- 77 Glenbrook Rd
Ste 108
Stamford, CT 06902-2978 - Phone
- (203) 348-1555
- Fax
- (203) 324-4338
- NPI assigned
- Mar 12, 2007
- 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 | 7545 | CT | Primary |
Addresses
Primary practice location
77 Glenbrook Rd
Ste 108
Stamford, CT 06902-2978
Mailing address
77 Glenbrook Rd
Ste 108
Stamford, CT 06902-2978
Phone (203) 348-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202033880 | Other | CT | TAXID# |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7545 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1891827028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GLENBROOK RD",
"address_2": "STE 108",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022978",
"telephone_number": "203-348-1555",
"fax_number": "203-324-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GLENBROOK RD",
"address_2": "STE 108",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022978",
"telephone_number": "203-348-1555",
"fax_number": "203-324-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIMENIS",
"first_name": "PETER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "7545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXID#",
"identifier": "202033880",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.