DR. ETHAN HARRISON PERELLIS DMD
NPI 1629642079
Dentist - General Practice in Louisville, KY

Q: What is Ethan Perellis's NPI number?

The NPI number for Ethan Perellis is 1629642079. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Q: What is Ethan Perellis'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 Ethan Perellis was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 19, 2021

9451 WESTPORT RD STE 109, LOUISVILLE, KY 40241(502) 412-5900 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ethan Harrison Perellis Dmd NPPES

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

DR. ETHAN HARRISON PERELLIS DMD (NPI 1629642079) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (10582) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1629642079

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN HARRISON PERELLISCredential: DMD

Location Address9451 WESTPORT RD STE 109Louisville, KY 40241-2295

Mailing Address9451 Westport Rd Ste 109Louisville, KY 40241-2295 · (502) 412-5900

Phone(502) 412-5900

Sole ProprietorYes

Enumeration DateMay 19, 2021

NPPES CertifiedMay 19, 2021

✔ NPI 1629642079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 10582

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.

9451 WESTPORT RD STE 109, Louisville, KY 40241

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Ethan Perellis's NPI number?

The NPI number for Ethan Perellis is 1629642079. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Ethan Perellis located?

Ethan Perellis practices at 9451 Westport Rd Ste 109, Louisville, KY 40241. The listed phone number is (502) 412-5900.

What is Ethan Perellis's specialty?

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

What insurance does Ethan Perellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 6 other insurers list Ethan Perellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Perellis was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.