Active NPI
Casandra Perez, DMD
- Dentist
- Miami, FL
National Provider Identifier
1205469608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24619
- Practice address
- 8950 SW 74TH CT Ste 1911
Miami, FL 33156-3178 - Phone
- (305) 670-0641
- NPI assigned
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN24619 | FL | Primary |
Addresses
Primary practice location
8950 SW 74TH CT Ste 1911
Miami, FL 33156-3178
Mailing address
9309 SW 221St St
Cutler Bay, FL 33190-1420
Other practice location 1
8257 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 667-4410
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 |
|---|---|---|---|
| DN24619 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sident LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Miami, FL
- NPI 1912550567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1205469608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 SW 221ST ST",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 1911",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563178",
"telephone_number": "305-670-0641"
}
],
"practiceLocations": [
{
"address_1": "8257 S Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331437717",
"country_code": "US",
"telephone_number": "305-667-4410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "CASANDRA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.