NPIMap

Organization Active NPI

Perry L Jeffries DDS PA

  • Pediatric Dentistry
  • Hillsborough, NC
National Provider Identifier
1952792228
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6832 Issued in NC
Legal business name
PERRY L JEFFRIES DDS PA
Practice address
407 Meadowlands Drive
Hillsborough, NC 27278-2686
Phone
(919) 883-1523
Fax
(866) 407-3096
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Amelia Foster
Title
Senior Practice Administrator
Phone
(336) 230-0346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 6832 NC Primary

Addresses

Primary practice location

407 Meadowlands Drive
Hillsborough, NC 27278-2686

Mailing address

871 Huffman St
Greensboro, NC 27405-7205
Phone (336) 230-0346

Other identifiers 1

IdentifierTypeStateIssuer
1588833131MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Perry L Jeffries DDS PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

407 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 883-1523

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1952792228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 HUFFMAN ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057205",
            "telephone_number": "336-230-0346",
            "fax_number": "336-230-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MEADOWLANDS DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782686",
            "telephone_number": "919-883-1523",
            "fax_number": "866-407-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY L JEFFRIES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "SENIOR PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-230-0346"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "6832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588833131",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.