Organization Active NPI

Ernesto J. Perez, DMD Inc.

  • Dental Clinic/Center
  • Miami, FL
National Provider Identifier
1083085419
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ERNESTO J. PEREZ, DMD INC.
Practice address
3201 SW 107TH Ave
Miami, FL 33165-3605
Phone
(305) 220-9393
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ernesto Perez, D.M.D.
Title
Owner/President
Phone
(305) 220-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3201 SW 107TH Ave
Miami, FL 33165-3605

Mailing address

3201 SW 107TH Ave
Miami, FL 33165-3605
Phone (305) 220-9393

National Provider Directory

National Provider Directory

Locations

3201 SW 107th Ave
Miami, FL 33165
Phone (305) 220-9393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1083085419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653605",
            "telephone_number": "305-220-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653605",
            "telephone_number": "305-220-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO J. PEREZ, DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-220-9393",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.