Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dominador T Perido Jr.

Individual provider Surgery Physician · NPI 1770576464

Dr. Dominador T Perido Jr. is a Surgery Physician in Elkhart, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2005

Practice location Address checks out

411 Sunset
Elkhart, KS 67950-0997
Phone: (620) 697-2155
Fax: (620) 697-4275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence KS0416343 (KS)

Record details

NPI number1770576464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2005
Last updated in NPPESAugust 8, 2012