Cordica Dental Designs

Primary specialty

DentistTaxonomy code 122300000X

License

DN15530 Issued in FL

Legal business name

CORDICA DENTAL DESIGNS

Practice address

220 W Brandon Blvd
Ste 106
Brandon, FL 33511-5104

Phone

(813) 661-1800

Fax

(813) 661-1300

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Perez, DMD

Title

Doctor, DMD/President

Phone

(813) 422-2599

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1477944742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD",
            "address_2": "STE 106",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115104",
            "telephone_number": "813-661-1800",
            "fax_number": "813-661-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BRANDON BLVD",
            "address_2": "STE 106",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115104",
            "telephone_number": "813-661-1800",
            "fax_number": "813-661-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDICA DENTAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR, DMD/PRESIDENT",
        "authorized_official_telephone_number": "813-422-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014265500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Cooper
• Jodi Cope, M.S., C.C.C.
• Zachary Joseph Cope, PHARMD
• Doris Copeland, RBT
• Marc Copeland, RPSGT
• Benjamin Cordoba
• Yolanda Cordon, MD
• Juan Pablo Cordova, M.D.
• Melissa Rose Cordova, ARNP
• Yailen Cordoves Rivero

• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.