Perez Family Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19738 Issued in TX

Legal business name

PEREZ FAMILY DENTAL PA

Practice address

2715 W Berry St
Fort Worth, TX 76109-2346

Phone

(817) 922-8552

Fax

(817) 922-9286

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Azzah Mary Perez, D.D.S.NPI 1902927973

Title

Dentist

Phone

(817) 922-8552

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Azzah Mary Perez, D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1902927973
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1316069958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 W BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092346",
            "telephone_number": "817-922-8552",
            "fax_number": "817-922-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092346",
            "telephone_number": "817-922-8552",
            "fax_number": "817-922-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AZZAH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-922-8552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Domnic Pereira, DPM
• Kristen Perek, DPT
• Medley Perella, CRNA
• Stephanie Lorraine Perez Chabert
• Obed Eduardo Perez de la Pena, O.D
• Ariana Perez-Speaks
• Alejandro Perez, MD
• Angela Perez
• Azzah Mary Perez, D.D.S.
• Claudia Andira Perez, M.D.

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.