Active NPI
Annelise Perez, DMD
- General Practice Dentistry
- Fort Myers, FL
National Provider Identifier
1144760703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23596
- Practice address
- 3436 Cleveland Ave
Fort Myers, FL 33901-7108 - Phone
- (239) 936-3436
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN23596 | FL | Primary |
Addresses
Primary practice location
3436 Cleveland Ave
Fort Myers, FL 33901-7108
Mailing address
13170 Bella Casa Cir Apt 294
Fort Myers, FL 33966-4790
Phone (786) 641-0631
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN23596 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Dental Care | General Practice | Past | Accepting new patients |
| Scott M Bakos DDS PA | General Practice | 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.
-
- General Practice Dentistry
- Fort Myers, FL
- NPI 1427985894
-
- General Practice Dentistry
- Fort Myers, FL
- NPI 1215081369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1144760703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13170 BELLA CASA CIR APT 294",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664790",
"telephone_number": "786-641-0631",
"fax_number": "718-901-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017108",
"telephone_number": "239-936-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ANNELISE",
"name_prefix": "Miss",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN23596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.