Perla Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24486 Issued in TX

Legal business name

PERLA ORTHODONTICS PC

Practice address

921 W Belt Line Rd
Desoto, TX 75115-3822

Phone

(972) 223-9600

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin R Walder, DDS

Title

President, Owner

Phone

(310) 413-8899

Specialties & licenses 1

Addresses

Tax ID family

Perla Orthodontics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Perla Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Prairie, TX
  • NPI 1356645774
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sateesh Kumar Ummareddy, DDS

  • Dentist
  • Lewisville, TX
  • NPI 1538447610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1952604522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S FM 548 STE A",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264130",
            "telephone_number": "972-215-7645",
            "fax_number": "888-302-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W BELT LINE RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153822",
            "telephone_number": "972-223-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "WALDER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "310-413-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "24486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parul K Patel, DPM
• Santosh Chandrakant Patel, MD
• Yamini Patel
• Peer Support of Texas LLC
• Lisa Perdue, M.D.
• Tamika L Perry, D.O.
• Personal Choyce Home Care Services, LLC
• Elizabeth Peters
• PHCS III, Inc.
• Roshelle Pickens

• Orthodontics and Dentofacial Orthopedics Dentistry in Desoto, TX
• Providers in Desoto, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.