Active NPI
Daniel Enrique Perez Osorio, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401419343
- Practice address
- 3580 Keagy Rd SW
Roanoke, VA 24018-1152 - Phone
- (540) 989-5257
- NPI assigned
- Aug 4, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401419343 | VA | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | F-24895 | TX |
Addresses
Primary practice location
3580 Keagy Rd SW
Roanoke, VA 24018-1152
Mailing address
3580 Keagy Rd SW
Roanoke, VA 24018-1152
Phone (540) 989-5257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204989206 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3580 Keagy Rd SW
Roanoke, VA 24018-1152
500 E John Carpenter Fwy
Suite 300
Irving, TX 75062-3969
54 S Medical Park Dr
Fishersville, VA 22939-2333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419343 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Oral Surgery, Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Southwest Virginia Oral & Maxillofacial Surgery, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
54 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 886-2956
112 Houston St
Ste B
Lexington, VA 24450
Phone (540) 463-9166
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fishersville, VA
- NPI 1710013446
-
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
- NPI 1972996197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1508097817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 KEAGY RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181152",
"telephone_number": "540-989-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 KEAGY RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181152",
"telephone_number": "540-989-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ OSORIO",
"first_name": "DANIEL",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-04",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401419343",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "F-24895",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204989206",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.