Lidya Daniella Perez Simon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16049 Issued in MD

Practice address

11300 Rockville Pike
Suite 702
North Bethesda, MD 20852-3011

Phone

(301) 770-2223

Fax

(301) 770-2224

NPI assigned

Sep 25, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1518337179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 702",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523011",
            "telephone_number": "301-770-2223",
            "fax_number": "301-770-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "SUITE 702",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523011",
            "telephone_number": "301-770-2223",
            "fax_number": "301-770-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SIMON",
        "first_name": "LIDYA",
        "middle_name": "DANIELLA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihye Park
• Kashiben G Patel, MD
• Peach State Medical Practice, PC (Kindbody of MD Medical Practice)
• Brenda Lee Pellicane, M.D.
• Peony Womens Integrative Health LLC
• Leanne Marie Perez
• Person Clinic LLC
• Rachel Pittmann, M.S. CCC-SLP
• Abigail Plaisance
• Plastic Surgery Institute of Washington, P.C.

• General Practice Dentistry in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• General Practice Dentistry in Maryland

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

Verify at the official NPI Registry.