Omar Raequan Perrin

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

21906 Elmway St
Clinton Township, MI 48035-1710

Phone

(216) 965-9479

NPI assigned

Oct 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1962978650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21906 ELMWAY ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351710",
            "telephone_number": "216-965-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21906 ELMWAY ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351710",
            "telephone_number": "216-965-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "OMAR",
        "middle_name": "RAEQUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kay Peltier, MA, LLP
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• Diego Alfonso Peralta, DPM
• Corey Richard Perkins, IDC
• Dawn Perkins
• Perry Drug Stores Inc and Subsidiaries
• Christian Perry
• Kelle Perry
• Persichetti Dental PLLC
• Jennifer Persichetti, D.D.S.

• Technician/Technologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Technician/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.