Alberto Jose Peraza Labrador Sr.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

390200000X Issued in TX

Practice address

3302 Gaston Ave
Dallas, TX 75246-2013

Phone

(347) 724-2418

NPI assigned

Jun 14, 2023

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

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1689358285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 SWISS AVE APT 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046692",
            "telephone_number": "469-328-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462013",
            "telephone_number": "347-724-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAZA LABRADOR",
        "first_name": "ALBERTO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "390200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Peralta
• Edgar Peralta, DC
• Gloria G Peralta, DO
• Joaquin Alberto Peralta, MD
• Sai Lavanya Peramala
• Yessenia Beatriz Peraza
• Perception Eyecare & Eyewear, PLLC
• Taylor Robertson Perdomo, CRNA
• Randi Renee Perdue, AC-PNP
• Brentus Perea, P.T.A.

• Oral and Maxillofacial Pathology Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.