npidexNPI registry + Medicare data

DANIEL PERNOUD, DDS

Dentist · CREVE COEUR, MO

Individual Active Opted out of Medicare NPI 1740540632

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X✓2012015446MO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2018-11-01 through 2026-11-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.