NPIMap

Organization Active NPI

Robert R. Perry, Jr. D.M.D

  • General Practice Dentistry
  • Dorchester Center, MA
National Provider Identifier
1962697086
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19737 1 Issued in MA
Legal business name
ROBERT R. PERRY, JR. D.M.D
Practice address
256 Ashmont St
Dorchester Center, MA 02124-3804
Phone
(617) 282-0220
Fax
(781) 447-5799
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Robert R Perry Jr., D.M.DNPI 1962565150
Title
President
Phone
(617) 282-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 19737 1 MA Primary

Addresses

Primary practice location

256 Ashmont St
Dorchester Center, MA 02124-3804

Mailing address

256 Ashmont St
Dorchester Center, MA 02124-3804
Phone (617) 282-0220

National Provider Directory

National Provider Directory

Locations

256 Ashmont St
Dorchester Center, MA 02124
Phone (617) 282-0220

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1962697086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 ASHMONT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243804",
            "telephone_number": "617-282-0220",
            "fax_number": "781-447-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 ASHMONT ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021243804",
            "telephone_number": "617-282-0220",
            "fax_number": "781-447-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. PERRY, JR. D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-282-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19737 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.