Sergio Pereira

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43387 Issued in CA

Practice address

5700 Whitelock Pkwy
# 120
Elk Grove, CA 95757-5925

Phone

(916) 714-3344

Fax

(916) 714-3304

NPI assigned

Nov 1, 2006

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sergio Pereira & Simonne Patrick, DDS a Prof Corp

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1972038321
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1679650360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 WHITELOCK PKWY",
            "address_2": "# 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575925",
            "telephone_number": "916-714-3344",
            "fax_number": "916-714-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WHITELOCK PKWY",
            "address_2": "# 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575925",
            "telephone_number": "916-714-3344",
            "fax_number": "916-714-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "SERGIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Pennino
• Sireesha Penumetcha, DDS
• Jordan Terrell Peppers
• Joseph Percoski
• Cynthia Marie Pereira
• Simmone C. Pereira, DDS
• Julissa Perez Balderas
• Josephine Perez Solis
• Ezra Jon Perez-Lopez
• Maria Perez-Parra

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.