Elisa Perez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28941 Issued in TX

Practice address

427 Singing Oaks
Spring Branch, TX 78070-6508

Phone

(830) 214-7334

Fax

(830) 214-7334

NPI assigned

Aug 1, 2013

Last updated

Jun 11, 2024By the provider in NPPES

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eperez62172@direct.utmsa.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hill Country Children's Dentistry

  • Dental Clinic/Center
  • Spring Branch, TX
  • NPI 1811739675
  NPD Authorized official
• David R Miller DDS PC

  • General Practice Dentistry
  • Mount Carmel, IL
  • NPI 1326653809
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1447682448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 WINDING VW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782607238",
            "telephone_number": "210-831-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SINGING OAKS",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706508",
            "telephone_number": "830-214-7334",
            "fax_number": "830-214-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Mary Williams Outlaw
• James Carter Outlaw, D.C.
• Rafael Alberto Parra, M.S., L.P.C.
• Holly Patrick, MS, CCC-SLP
• Patriot Med Logistics LLC
• Tavie Coyle Peters, NP
• Lewis Thomas Petmecky, L.A.T.
• Stephen P Planchet, O.D.
• Kimberly Ann Platupe, COTA
• Marissa E Ponti, M.S. CCC-SLP

• Pediatric Dentistry in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.