Individual provider Active NPI

Ramon A Perez, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Davie, FL
National Provider Identifier
1114138617
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN16203 Issued in FL
Practice address
15661 Sheridan St Ste C4
Davie, FL 33331-3497
Phone
(954) 693-0026
Fax
(954) 693-0085
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN16203 FL Primary

Addresses

Primary practice location

15661 Sheridan St Ste C4
Davie, FL 33331-3497

Mailing address

15661 Sheridan St Ste C4
Davie, FL 33331-3497
Phone (954) 693-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16203FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oms Associates, PA Oral and Maxillofacial Surgery CurrentSince Jul 21, 2024 Accepting new patients
Omsa DB PA Oral and Maxillofacial Surgery Current Accepting new patients

Locations

15661 Sheridan St
Ste C4
Davie, FL 33331
Phone (954) 693-0026

12002 SW 128th Ct
Ste 103
Miami, FL 33186

10173 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 693-0026

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1114138617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15661 SHERIDAN ST STE C4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313497",
            "telephone_number": "954-693-0026",
            "fax_number": "954-693-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15661 SHERIDAN ST STE C4",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313497",
            "telephone_number": "954-693-0026",
            "fax_number": "954-693-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RAMON",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.