Pelican Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

DN19163 Issued in FL

Legal business name

PELICAN DENTAL CARE

Practice address

1956 41St Ave Ste a
Vero Beach, FL 32960-2561

Phone

(772) 569-9781

Fax

(772) 569-9912

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Liliana PerezNPI 1831402064

Title

Dentist

Phone

(772) 569-9781

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Liliana Perez, DMD

  • Dentist
  • Vero Beach, FL
  • NPI 1831402064
  NPD Authorized official

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1598058174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 41ST AVE STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602561",
            "telephone_number": "772-569-9781",
            "fax_number": "772-569-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 41ST AVE STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602561",
            "telephone_number": "772-569-9781",
            "fax_number": "772-569-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "772-569-9781",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Pechter
• John Patrick Peden Jr., MD
• Pediatrix Medical Group of Florida Inc
• Peds & Carrots Therapy Services, Inc.
• Nancy H Pegg, M.S.W.
• Edward Jose Pellerano Guzman, M.D.
• Kelise Pelletier-Theisen
• Rehanna Linn Pelletier
• Pelvic Rehab of Vero, LLC
• David D. Pena, DMD

• Dentist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.