Elineida Perez, D.D.S.M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

32510 Issued in TX

Practice address

815 N 4TH St Ste C
Longview, TX 75601-5439

Phone

(903) 757-8890

Fax

(903) 757-7198

NPI assigned

Nov 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Texas Endodonics

  • Endodontics
  • Longview, TX
  • NPI 1346249612
  NPD (past)

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1306389093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N 4TH ST STE C",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015439",
            "telephone_number": "903-757-8890",
            "fax_number": "903-757-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N 4TH ST STE C",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015439",
            "telephone_number": "903-757-8890",
            "fax_number": "903-757-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELINEIDA",
        "credential": "D.D.S.M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "32510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Davi Pellegalle, APRN, FNP-C, PMHNP-C
• Lindsey Penner, COTA
• Kayla Pepper
• Nigel Aloysius Pereira
• Cesar Agustin Perez, MD
• Mary Carmen Perez, LCSW
• Sandra Perez, FNP-BC
• William D Perkins, MD
• Perry Chiropractic, P.C.
• Tabitha Perry, LMT

• Endodontics in Longview, TX
• Providers in Longview, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.