Haroon Wajid Peerzada, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29166 Issued in FL

Practice address

275 S Chickasaw TRL Ste 2
Orlando, FL 32825-3505

Phone

(407) 434-0243

NPI assigned

Jun 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

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.

• Lady Lake Smiles Dentistry, PA

  • General Practice Dentistry
  • Lady Lake, FL
  • NPI 1982052262

  General Practice

  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1124862792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 MAJORCA PL APT 5041",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195561",
            "telephone_number": "407-558-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S CHICKASAW TRL STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253505",
            "telephone_number": "407-434-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERZADA",
        "first_name": "HAROON",
        "middle_name": "WAJID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29166",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pedroza
• Peds to Go Inc
• Hayden Alexander Peek
• Doug Peeler, PA-C
• Akber Peerani I, D.C.
• Nicole Y Pegarido, DPT
• Eliane Pegas
• Felecia Peguero
• Lee-Ann Peguero, RBT
• Sindy Pegus

• All providers in Orlando, FL
• General Practice Dentistry in Florida

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