Active NPI
Paul C Perez, D.D.S.
- Dentist
- New Orleans, LA
National Provider Identifier
1467746305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6165
- Practice address
- 3600 Saint Charles Ave
Suite #202
New Orleans, LA 70115-7121 - Phone
- (504) 304-4761
- Fax
- (504) 302-2672
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6165 | LA | Primary |
Addresses
Primary practice location
3600 Saint Charles Ave
Suite #202
New Orleans, LA 70115-7121
Mailing address
3600 Saint Charles Ave
Suite #202
New Orleans, LA 70115-7121
Phone (504) 304-4761
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 |
|---|---|---|---|
| 6165 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perez Dental Studio LLC | Current | Accepting new patients | |
| PCP Dental LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Metairie, LA
- NPI 1770432213
-
- General Practice Dentistry
- New Orleans, LA
- NPI 1578938148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451779200000",
"number": "1467746305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 SAINT CHARLES AVE",
"address_2": "SUITE #202",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701157121",
"telephone_number": "504-304-4761",
"fax_number": "504-302-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 SAINT CHARLES AVE",
"address_2": "SUITE #202",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701157121",
"telephone_number": "504-304-4761",
"fax_number": "504-302-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2016-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.