Perry Joseph Bushong II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27959 Issued in TX

Practice address

4 Dominion Dr BLDG 5-250
San Antonio, TX 78257-1405

Phone

(210) 687-1150

Fax

(210) 687-1120

NPI assigned

Jun 26, 2012

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bushong Dental, PLLC

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1750977914
  NPD Authorized official
• A.B. Dental P.C.

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1821344607
  NPD (past) Authorized official
• Soh of Texas Samson Liu PLLC

  • Dentist
  • San Antonio, TX
  • NPI 1548725732
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1992069728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOMINION DR BLDG 5-250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571405",
            "telephone_number": "210-687-1150",
            "fax_number": "210-687-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOMINION DR BLDG 5-250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571405",
            "telephone_number": "210-687-1150",
            "fax_number": "210-687-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "PERRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Bushman
• Judith Bushnell, LPC
• Bushong Dental, PLLC
• Alexi Brook Bushong
• Armita Anari Bushong, D.D.S
• Sara Marie Bushur, WHNP-BC
• Kristin L Bussey-Smith, MD
• Henry I Bussey III, PT DPT MS OCS
• Stephanie D Bussey, PT MPT
• Claire E. Bustamante, PNP

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.