NPI Number: 1952660219
Health Care Provider/Practitioner: DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.
Information about “1952660219” NPI (DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.)
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<?xml version="1.0" encoding="UTF-8"?>
<Npi>
<NPI>
1952660219
</NPI>
<EntityType>
Organization
</EntityType>
<ReplacementNPI/>
<EIN/>
<IsSoleProprietor/>
<IsOrgSubpart>
N
</IsOrgSubpart>
<ParentOrgLBN/>
<ParentOrgTIN/>
<OrgName>
DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.
</OrgName>
<LastName/>
<FirstName/>
<MiddleName/>
<NamePrefix/>
<NameSuffix/>
<Credential/>
<OtherOrgName/>
<OtherOrgNameTypeCode>
6
</OtherOrgNameTypeCode>
<OtherLastName/>
<OtherFirstName/>
<OtherMiddleName/>
<OtherNamePrefix/>
<OtherNameSuffix/>
<OtherCredential/>
<OtherLastNameTypeCode/>
<FirstLineMailingAddress>
1105 ATLANTIC AVE STE 101
</FirstLineMailingAddress>
<SecondLineMailingAddress/>
<MailingAddressCityName>
ALAMEDA
</MailingAddressCityName>
<MailingAddressStateName>
CA
</MailingAddressStateName>
<MailingAddressPostalCode>
94501-1185
</MailingAddressPostalCode>
<MailingAddressCountryCode>
US
</MailingAddressCountryCode>
<MailingAddressTelephoneNumber>
510-521-5016
</MailingAddressTelephoneNumber>
<MailingAddressFaxNumber>
510-522-8283
</MailingAddressFaxNumber>
<FirstLinePracticeLocationAddress>
1105 ATLANTIC AVE STE 101
</FirstLinePracticeLocationAddress>
<SecondLinePracticeLocationAddress/>
<PracticeLocationAddressCityName>
ALAMEDA
</PracticeLocationAddressCityName>
<PracticeLocationAddressStateName>
CA
</PracticeLocationAddressStateName>
<PracticeLocationAddressPostalCode>
94501-1185
</PracticeLocationAddressPostalCode>
<PracticeLocationAddressCountryCode>
US
</PracticeLocationAddressCountryCode>
<PracticeLocationAddressTelephoneNumber>
510-521-5016
</PracticeLocationAddressTelephoneNumber>
<PracticeLocationAddressFaxNumber>
510-522-8283
</PracticeLocationAddressFaxNumber>
<EnumerationDate>
05/08/2012
</EnumerationDate>
<LastUpdateDate>
07/21/2022
</LastUpdateDate>
<NPIDeactivationReasonCode/>
<NPIDeactivationReason/>
<NPIDeactivationDate/>
<NPIReactivationDate/>
<GenderCode/>
<Gender/>
<AuthorizedOfficialLastName>
PERRY
</AuthorizedOfficialLastName>
<AuthorizedOfficialFirstName>
DAVID
</AuthorizedOfficialFirstName>
<AuthorizedOfficialMiddleName>
MASON
</AuthorizedOfficialMiddleName>
<AuthorizedOfficialTitle>
PRESIDENT
</AuthorizedOfficialTitle>
<AuthorizedOfficialNamePrefix>
DR.
</AuthorizedOfficialNamePrefix>
<AuthorizedOfficialNameSuffix/>
<AuthorizedOfficialCredential>
D.D.S.
</AuthorizedOfficialCredential>
<AuthorizedOfficialTelephoneNumber>
510-521-5016
</AuthorizedOfficialTelephoneNumber>
<Taxonomies>
<Taxonomy>
<TaxonomyCode>
1223P0221X
</TaxonomyCode>
<TaxonomyName>
Pediatric Dentistry
</TaxonomyName>
<LicenseNumber/>
<LicenseNumberStateCode/>
<PrimaryTaxonomySwitch>
Y
</PrimaryTaxonomySwitch>
</Taxonomy>
</Taxonomies>
<HealthcareProviderTaxonomyGroups>
<HealthcareProviderTaxonomyGroup>
<HealthcareProviderTaxonomyGroupName>
193400000X SINGLE SPECIALTY GROUP
</HealthcareProviderTaxonomyGroupName>
<HealthcareProviderTaxonomyGroupDescription>
Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization.
</HealthcareProviderTaxonomyGroupDescription>
</HealthcareProviderTaxonomyGroup>
</HealthcareProviderTaxonomyGroups>
</Npi>
<?xml version="1.0" encoding="UTF-8"?>
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" elementFormDefault="qualified" attributeFormDefault="unqualified">
<xs:element name="Npi">
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<xs:element name="ParentOrgLBN"></xs:element>
<xs:element name="ParentOrgTIN"></xs:element>
<xs:element name="OrgName"></xs:element>
<xs:element name="LastName" type="xs:string"></xs:element>
<xs:element name="FirstName" type="xs:string"></xs:element>
<xs:element name="MiddleName"></xs:element>
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<xs:element name="OtherCredential"></xs:element>
<xs:element name="OtherLastNameTypeCode"></xs:element>
<xs:element name="FirstLineMailingAddress" type="xs:string"></xs:element>
<xs:element name="SecondLineMailingAddress"></xs:element>
<xs:element name="MailingAddressCityName" type="xs:string"></xs:element>
<xs:element name="MailingAddressStateName" type="xs:string"></xs:element>
<xs:element name="MailingAddressPostalCode" type="xs:string"></xs:element>
<xs:element name="MailingAddressCountryCode" type="xs:string"></xs:element>
<xs:element name="MailingAddressTelephoneNumber" type="xs:string"></xs:element>
<xs:element name="MailingAddressFaxNumber"></xs:element>
<xs:element name="FirstLinePracticeLocationAddress" type="xs:string"></xs:element>
<xs:element name="SecondLinePracticeLocationAddress" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressCityName" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressStateName" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressPostalCode" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressCountryCode" type="xs:string"></xs:element>
<xs:element name="PracticeLocationAddressTelephoneNumber" type="xs:string"></xs:element>
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<xs:element name="EnumerationDate" type="xs:string"></xs:element>
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<xs:element name="NPIDeactivationReasonCode"></xs:element>
<xs:element name="NPIDeactivationReason"></xs:element>
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<xs:element name="NPIReactivationDate"></xs:element>
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<xs:element name="AuthorizedOfficialMiddleName"></xs:element>
<xs:element name="AuthorizedOfficialTitle"></xs:element>
<xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
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<xs:element name="AuthorizedOfficialCredential"></xs:element>
<xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
<xs:element name="Taxonomies">
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<xs:element name="Taxonomy" maxOccurs="unbounded">
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<xs:element name="TaxonomyCode" type="xs:string"></xs:element>
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<xs:element name="LicenseNumber" type="xs:string"></xs:element>
<xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
<xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
</xs:sequence>
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<xs:element name="OtherIdentifiers">
<xs:complexType>
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<xs:element name="OtherIdentifier" maxOccurs="unbounded">
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<xs:element name="OtherIdentifierName" type="xs:string"></xs:element>
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<xs:element name="OtherIdentifierState" type="xs:string"></xs:element>
<xs:element name="OtherIdentifierIssuer"></xs:element>
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<xs:element name="HealthcareProviderTaxonomyGroups"></xs:element>
</xs:sequence>
</xs:complexType>
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</xs:schema>