Active NPI
Michael Perez
- Social Worker
- Richardson, TX
National Provider Identifier
1134327117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 30036
- Practice address
- 208 W Spring Valley Rd
Richardson, TX 75081-4034 - Phone
- (972) 238-1976
- Fax
- (972) 238-0456
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 30036 | TX | Primary |
Addresses
Primary practice location
208 W Spring Valley Rd
Richardson, TX 75081-4034
Mailing address
208 W Spring Valley Rd
Richardson, TX 75081-4034
Phone (972) 238-1976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30036 | Other | TX | TEXAS LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30036 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camp Medical Management, LLC | Social Worker | Past | Accepting new patients |
| Madsen Medical, LLC | Past | Accepting new patients |
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.
-
dba Accuhealth
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1013403427
Social Worker
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1417709056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1134327117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W SPRING VALLEY RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814034",
"telephone_number": "972-238-1976",
"fax_number": "972-238-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W SPRING VALLEY RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814034",
"telephone_number": "972-238-1976",
"fax_number": "972-238-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "30036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "30036",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.