Active NPI
Paul C. Perry, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Sulphur, LA
National Provider Identifier
1922033190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4372
- Practice address
- 3109 Maplewood Dr
Sulphur, LA 70663-6201 - Phone
- (337) 625-5330
- Fax
- (337) 625-5335
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4372 | LA | Primary |
Addresses
Primary practice location
3109 Maplewood Dr
Sulphur, LA 70663-6201
Mailing address
3109 Maplewood Dr
Sulphur, LA 70663-6201
Phone (337) 625-5330
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4372 | LA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922033190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 MAPLEWOOD DR",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706636201",
"telephone_number": "337-625-5330",
"fax_number": "337-625-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 MAPLEWOOD DR",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706636201",
"telephone_number": "337-625-5330",
"fax_number": "337-625-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PAUL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "4372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Physicians Imaging-Sulphur Medicaid
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.