Individual provider Active NPI

Noel Perez, DDS

  • Dentist
  • Lamont, CA
National Provider Identifier
1326141979
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49974 Issued in CA
Practice address
8787 Hall Road
Lamont, CA 93241
Phone
(661) 845-3668
Fax
(661) 845-3739
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49974 CA Primary

Addresses

Primary practice location

8787 Hall Road
Lamont, CA 93241

Mailing address

8787 Hall Rd
Lamont, CA 93241-1953
Phone (661) 845-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116003119 CA Practitioner - Oral Surgery 5991956971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Oct 1, 2023 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

9001 S H St
Bakersfield, CA 93307
Phone (661) 328-4260

8787 Hall Rd
Lamont, CA 93241
Phone (661) 845-3717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1326141979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 HALL RD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411953",
            "telephone_number": "661-845-3688",
            "fax_number": "661-845-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 HALL ROAD",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "93241",
            "telephone_number": "661-845-3668",
            "fax_number": "661-845-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NOEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

Verify at the official NPI Registry.