Active NPI
James David Perll
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1902595317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8158
- Practice address
- 3422 S 144TH St
Omaha, NE 68144-5215 - Phone
- (402) 333-3151
- Fax
- (531) 329-6833
- NPI assigned
- May 2, 2023
- Last updated
- Sep 15, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62114 | KS | |
| General Practice Dentistry | 1223G0001X | 2023020439 | MO | |
| General Practice Dentistry | 1223G0001X | 8158 | NE | Primary |
Addresses
Primary practice location
3422 S 144TH St
Omaha, NE 68144-5215
Mailing address
3737 Farnam St Apt 608
Omaha, NE 68131-3263
Phone (573) 721-1181
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 |
|---|---|---|---|
| 62114 | KS | MD | General Practice Dentistry |
| 2023020439 | MO | MD | General Practice Dentistry |
| 8158 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Marengo Jr. DDS, PA | Past | Accepting new patients | |
| Rem Anesthesia, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Esthetic Enhancement LLC
- Dental Clinic/Center
- Olathe, KS
- NPI 1306237482
-
- Certified Registered Nurse Anesthetist
- Shawnee, KS
- NPI 1417609405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1902595317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 FARNAM ST APT 608",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313263",
"telephone_number": "573-721-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681445215",
"telephone_number": "402-333-3151",
"fax_number": "531-329-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLL",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-02",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "62114",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2023020439",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "8158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.