Active NPI
Jose Ricardo Perez, D.M.D, M.S.D.
- Periodontics
- Orlando, FL
National Provider Identifier
1295814077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN17008
- Practice address
- 785 N Alafaya TRL
Orlando, FL 32828-7047 - Phone
- (407) 274-5132
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN17008 | FL | Primary |
Addresses
Primary practice location
785 N Alafaya TRL
Orlando, FL 32828-7047
Mailing address
100 W Grant St Apt 5014
Orlando, FL 32806-3974
Phone (407) 274-5132
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 |
|---|---|---|---|
| DN17008 | FL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Dental Associates PA | Past | Accepting new patients | |
| JB Oasis Dental PA | 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
- Pembroke Pines, FL
- NPI 1528948619
-
- Dentist
- Penbroke Pines, FL
- NPI 1932201142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1295814077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W GRANT ST APT 5014",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328063974",
"telephone_number": "407-274-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 N ALAFAYA TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287047",
"telephone_number": "407-274-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JOSE",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "D.M.D, M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN17008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.