Susel Maria Perez Ojeda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24351 Issued in FL

Practice address

6779 Taft St
Hollywood, FL 33024-3902

Phone

(954) 639-9900

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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 FL

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

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.

• SP Smile PLLC

  • General Practice Dentistry
  • Miami, FL
  • NPI 1033853791
  NPD Authorized official
• Ideal Smiles Inc

  • General Practice Dentistry
  • Hollywood, FL
  • NPI 1245805274
  NPD
• Boynton Beach Modern Dentistry, PA

  • Dentist
  • Boynton Beach, FL
  • NPI 1194288985
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1467988253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 141ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843054",
            "telephone_number": "702-241-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243902",
            "telephone_number": "954-639-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-3058",
            "fax_number": "330-884-5788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8773 Boynton Beach Blvd Unit 520",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "33472",
            "country_code": "US",
            "telephone_number": "561-200-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ OJEDA",
        "first_name": "SUSEL",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Perez Caballero, PHYSICIAN ASSISTANT
• Lizandra Perez Echevarria
• Abdel Perez Gallardo
• Laura Perez Gutierrez, PHARMD
• Yaine Perez Hernandez
• Leonela Maria Perez Osoria, APRN,FNP
• Maydelin Perez Pena
• Neidy D Perez Ramos I, CBHCM.0107932-P
• Nelly Perez Ramos, CBHCMP
• Damian Perez Santos

• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.