Individual provider Active NPI

Olga Lucia Perez Estrada

  • Dental Hygienist
  • Ocala, FL
National Provider Identifier
1487327771
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
27974 Issued in FL
Practice address
1220 NE 36TH Ave
Ocala, FL 34470-4931
Phone
(352) 732-4847
NPI assigned
Aug 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 27974 FL Primary

Addresses

Primary practice location

1220 NE 36TH Ave
Ocala, FL 34470-4931

Mailing address

3001 SE Lake Weir Ave Apt 1010
Ocala, FL 34471-6731
Phone (952) 688-9896

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

LicenseStateTypeSpecialty
27974FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Aug 8, 2021 Accepting new patients
Coast Florida P.a. PastSince Aug 8, 2021 Accepting new patients

Locations

1220 NE 36th Ave
Ocala, FL 34470
Phone (352) 732-4847

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.

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1487327771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SE LAKE WEIR AVE APT 1010",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716731",
            "telephone_number": "952-688-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NE 36TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704931",
            "telephone_number": "352-732-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ESTRADA",
        "first_name": "OLGA",
        "middle_name": "LUCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "27974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; 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.