NPIMap

Organization Active NPI

Ofelia Perez Hernandez DDS PLLC

  • Dentist
  • Mission, TX
National Provider Identifier
1568901957
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28024 Issued in TX
Legal business name
OFELIA PEREZ HERNANDEZ DDS PLLC
Practice address
8360 W. Expy 83
Mission, TX 78572
Phone
(956) 581-5265
Fax
(956) 581-5299
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Ofelia P Hernandez, DDS
Title
Owner
Phone
(956) 581-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 28024 TX Primary

Addresses

Primary practice location

8360 W. Expy 83
Mission, TX 78572

Mailing address

PO Box 3749
Mission, TX 78573
Phone (402) 321-3632

Other identifiers 1

IdentifierTypeStateIssuer
365175401MedicaidTX

Other names 1

  • Galleria Dental Other name

National Provider Directory

National Provider Directory
Tax ID family
Galleria Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1568901957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3749",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78573",
            "telephone_number": "402-321-3632",
            "fax_number": "956-581-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 W. EXPY 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-581-5265",
            "fax_number": "956-581-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFELIA PEREZ HERNANDEZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-581-5265",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365175401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.