Individual provider Active NPI

Amanda Grace Perez, DDS

  • General Practice Dentistry
  • Clermont, FL
National Provider Identifier
1114775731
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29159 Issued in FL
Practice address
1645 E Highway 50 Ste 100
Clermont, FL 34711-5199
Phone
(352) 432-1960
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29159 FL Primary

Addresses

Primary practice location

1645 E Highway 50 Ste 100
Clermont, FL 34711-5199

Mailing address

18755 SW 212TH St
Miami, FL 33187-4015
Phone (786) 314-8712

Other practice location 1

820 N State Road 434
Altamonte Springs, FL 32714-7036
Phone (407) 278-7849

Other names 1

  • Amanda Grace Orzechowicz Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29159FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114775731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18755 SW 212TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331874015",
            "telephone_number": "786-314-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E HIGHWAY 50 STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115199",
            "telephone_number": "352-432-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 N State Road 434",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327147036",
            "country_code": "US",
            "telephone_number": "407-278-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "29159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ORZECHOWICZ",
            "middle_name": "GRACE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.