Individual provider Active NPI

James David Perll

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1902595317
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8158 Issued in NE
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
62114KSMDGeneral Practice Dentistry
2023020439MOMDGeneral Practice Dentistry
8158NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Marengo Jr. DDS, PA PastSince Feb 4, 2024 Accepting new patients
Rem Anesthesia, LLC PastSince May 1, 2023 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.

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.

Verify at the official NPI Registry.