Jesus Peralez Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20173 Issued in TX

Practice address

600 Division Ave
San Antonio, TX 78214-1350

Phone

(210) 924-7277

Fax

(210) 922-5199

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pan Am Dental LP

  • Clinic/Center
  • San Antonio, TX
  • NPI 1750409686
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104049832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 CARRIAGE OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492525",
            "telephone_number": "210-924-7277",
            "fax_number": "210-922-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DIVISION AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141350",
            "telephone_number": "210-924-7277",
            "fax_number": "210-922-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALEZ",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Perales, APRN
• Melinda Annette Perales
• Philip Perales
• Sarah Evelyn Perales, MSN, FNP-C
• Victoria Grace Perales, LVN
• Kassandra Peralez
• Myra Aime Peralez, BS SLP-ASSISTANT
• Yelynel Peralta Mercado
• Celin Adabel Peralta, APRN
• Carlos Perches, MD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.