Individual provider Active NPI

Leticia F. Perezous, DDS, MS

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1457470536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
21887 Issued in TX
Practice address
7676 Woodway Dr Ste 310
Houston, TX 77063-1523
Phone
(713) 781-4100
Fax
(713) 781-7877
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 21887 TX Primary

Addresses

Primary practice location

7676 Woodway Dr Ste 310
Houston, TX 77063-1523

Mailing address

1310 Village Garden Dr
Missouri City, TX 77459-1513
Phone (281) 499-7182

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
21887TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Leticia F. Perezous, DDS, Ms, P.a. Past Accepting new patients

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457470536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 VILLAGE GARDEN DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591513",
            "telephone_number": "281-499-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 WOODWAY DR STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631523",
            "telephone_number": "713-781-4100",
            "fax_number": "713-781-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZOUS",
        "first_name": "LETICIA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "21887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.