Active NPI
Clairis Perez
- Dentist
- Miami, FL
National Provider Identifier
1437723665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107593
- Practice address
- 4320 SW 102ND Ave
Miami, FL 33165-5021 - Phone
- (786) 925-7236
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 107593 | CA | Primary |
Addresses
Primary practice location
4320 SW 102ND Ave
Miami, FL 33165-5021
Mailing address
839 Morrison Park Dr Apt 316
San Jose, CA 95126-5316
Phone (786) 925-7236
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 |
|---|---|---|---|
| 107593 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1437723665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 MORRISON PARK DR APT 316",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951265316",
"telephone_number": "786-925-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SW 102ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655021",
"telephone_number": "786-925-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CLAIRIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.