Individual provider Active NPI

Maureen Perry, D.D.S., MPA, MAED

  • Oral and Maxillofacial Surgery (Dentist)
  • Mesa, AZ
National Provider Identifier
1992985295
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D7127 Issued in AZ
Practice address
5835 E Still Cir
Mesa, AZ 85206-3618
Phone
(480) 248-8120
Fax
(480) 219-6080
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20191230001407 AZ Practitioner - Dentist 8921334798 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7127AZMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
A T Still University of Health Sciences CurrentSince Feb 2, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Aug 4, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Aug 4, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients

Locations

5835 E Still Cir
Mesa, AZ 85206
Phone (480) 248-8100

4838 E Baseline Rd
Ste 126
Mesa, AZ 85206
Phone (480) 265-8067

5850 E Still Cir
Mesa, AZ 85206
Phone (480) 219-6000

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7127 AZ
Orofacial Pain Dentistry 1223X2210X D7127 AZ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D7127 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Mailing address

5855 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 248-8120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2022.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1992985295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-248-8120",
            "fax_number": "480-219-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-248-8120",
            "fax_number": "480-219-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., MPA, MAED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7127",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "D7127",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D7127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.