Leonel Perez Jr., D.D.S, M.D., F.A.C.S

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

0101277440 Issued in VA

Practice address

7617 Little River Tpke Ste 900
Annandale, VA 22003-2618

Phone

(703) 936-6319

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lperez805326@direct.umm.edu

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.

• Dr. Leo Perez, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Herndon, VA
  • NPI 1396608899
  NPD Authorized official
• The Studio - TMJ & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Herndon, VA
  • NPI 1336002740
  NPD Authorized official
• Elhady Dental 2 PLLC

  dba GoSmiles Gainesville

  • Dentist
  • Gainesville, VA
  • NPI 1043790942

  Oral and Maxillofacial Surgery

  NPD (past)
• Hicham Mekouar DDS PC

  dba gateway dental

  • Dentist
  • Gainesville, VA
  • NPI 1215143326
  NPD (past)
• Washington Oral Surgery Center, LLC

  dba Woodview Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Largo, MD
  • NPI 1891039988
  NPD (past)

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1669638185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24500 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722130",
            "telephone_number": "210-542-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE STE 900",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032618",
            "telephone_number": "703-936-6319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 Good Hope Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20020",
            "country_code": "US",
            "telephone_number": "202-610-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7462 Limestone Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201554007",
            "country_code": "US",
            "telephone_number": "703-753-3346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Mercantile Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207744306",
            "country_code": "US",
            "telephone_number": "240-696-6981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8930 Brown Drive",
            "address_2": "Bldg 9, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "20889",
            "country_code": "US",
            "telephone_number": "301-841-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LEONEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S, M.D., F.A.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0090703",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24131",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0101277440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavilion Medical Home Care & Staffing, LLC
• Pavilion Outpatient Therapy LLC
• Pavilion Pace, LLC
• Pediatric Surgical Associates of Northern Virginia
• Loverly Glaze Pelayo-Pugh
• Personic Neuropsych PLLC
• Peter D Kim MD PC
• Ciara Petry, DPT
• Sarah D Petty, L. AC.
• Audra Victoria Phalen, LCSW, LICSW

• Oral and Maxillofacial Surgery Clinic/Center in Annandale, VA
• Providers in Annandale, VA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.