DR. EVAN L PERRY D D S
NPI 1104184837
Dentist - General Practice in Provo, UT

Q: What is Evan Perry's NPI number?

The NPI number for Evan Perry is 1104184837. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Q: What is Evan Perry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Evan Perry was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2012PECOS Enrolled

320 RIVER PARK DR, SUITE 225, PROVO, UT 84604(801) 225-7111(801) 764-9777 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Evan L Perry D D S NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVAN L PERRY D D S (NPI 1104184837) is an individual general practice provider in Provo, Utah, licensed in Utah (142103) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104184837

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. EVAN L PERRYCredential: D D S

Location Address320 RIVER PARK DR, SUITE 225Provo, UT 84604-6060

Mailing Address320 River Park Dr, Suite 225Provo, UT 84604-6060 · (801) 225-7111 · Fax (801) 764-9777

Phone(801) 225-7111

Fax(801) 764-9777

Sole ProprietorYes

Enumeration DateMay 1, 2012

✔ NPI 1104184837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 142103

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

320 RIVER PARK DR, Provo, UT 84604

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Other Identifiers 1

Other1134244734UT · Group Npi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan L Perry D D S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA SAL ANESTHESIA, PC

Anesthesiology

320 RIVER PARK DR
PROVO, UT 84604

Utah County (801) 609-4476

THE ROSE CLINIC FOR PLASTIC AND MIGRAINE SURGERY

Specialist

320 RIVER PARK DR, SUITE 245
PROVO, UT 84604

Utah County (801) 375-7673

EVAN L PERRY DDS PC

Dentist (General Practice)

320 RIVER PARK DR, SUITE 225
PROVO, UT 84604

Utah County (801) 225-7111

MR. TREVOR KOEL TOMLINSON C.R.N.A.

Nurse Anesthetist, Certified Registered

320 RIVER PARK DR
PROVO, UT 84604

Utah County (801) 830-8738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Perry's NPI number?

The NPI number for Evan Perry is 1104184837. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Evan Perry located?

Evan Perry practices at 320 River Park Dr Suite 225, Provo, UT 84604. The listed phone number is (801) 225-7111.

What is Evan Perry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Evan Perry enrolled in Medicare?

Yes. Evan Perry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Perry was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.