Organization Active NPI

Oliva-Perez Dental Group

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1295308211
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OLIVA-PEREZ DENTAL GROUP
Practice address
13323 SW 42ND St
Miami, FL 33175-3269
Phone
(305) 223-2828
Fax
(305) 223-1459
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Dr. Ilieg Oliva Perez, DDSNPI 1265809107
Title
Owner
Phone
(305) 223-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

13323 SW 42ND St
Miami, FL 33175-3269

Mailing address

13323 SW 42ND St
Miami, FL 33175-3269
Phone (305) 223-2828

Other names 1

  • Your Dental Life Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1295308211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13323 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753269",
            "telephone_number": "305-223-2828",
            "fax_number": "305-223-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753269",
            "telephone_number": "305-223-2828",
            "fax_number": "305-223-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVA-PEREZ DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "OLIVA PEREZ",
        "authorized_official_first_name": "ILIEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-223-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Dental Life",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 19, 2021; 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.