Okan Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24450 Issued in TX

Legal business name

OKAN DENTAL, PLLC

Practice address

202 E Expressway 83
Suite E
Mission, TX 78572-6020

Phone

(956) 584-1800

Fax

(956) 584-1810

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Federico Augusto Perez, DDS

Title

President

Phone

(956) 584-1800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1689917643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EXPRESSWAY 83",
            "address_2": "SUITE E",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726020",
            "telephone_number": "956-584-1800",
            "fax_number": "956-584-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EXPRESSWAY 83",
            "address_2": "SUITE E",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726020",
            "telephone_number": "956-584-1800",
            "fax_number": "956-584-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKAN DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-584-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1235128513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200561302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavio Mejia Jr DDS
• Ofelia Perez Hernandez DDS PLLC
• Ofelia Perez-Hernandez DDS PLLC
• Bosede Nihinlolawa Ogunlana, M.D.
• Victor O a Ogunlana, MD
• Dileny Maricruz Olivarez
• Dulce E Olivarez, FNP
• Elizabeth Olivarez, AGACNP-BC
• Madelina Olivarez, LPC
• Marta Shaidy Olivarez, RN

• Dentist in Mission, TX
• Providers in Mission, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.