Juanita Perez Perez

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

1003727 Issued in WI

Practice address

209 E Commerce CT
Elkhorn, WI 53121-4371

Phone

(262) 686-1388

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

No

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1639885890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E COMMERCE CT",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214371",
            "telephone_number": "262-686-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PEREZ",
        "first_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1003727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilip P Patel, MD
• Keri Pautz
• Lori Pearson, NCLMT
• Mark Oliver Pease, APNP
• Kaitlin Pellicano, MD
• Sheila Peters
• Roger Dwight Petersen, M.D.
• Clayton Richard Peterson, LCSW
• Valerian Mark Peterson, MD
• Harrison R Pham

• Dental Hygienist in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.