Edgar L Perales, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

33524 Issued in TX

Practice address

1800 McRae Blvd
El Paso, TX 79925-6706

Phone

(915) 592-4168

NPI assigned

Sep 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Practice roles

Interoperability endpoints

• Direct secure messaging: edgar.perales@direct.myhealthep.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Briggs & Fosbury, P.a.

  • Pediatric Dentistry
  • El Paso, TX
  • NPI 1871675405
  NPD (past)
• Holguin & Briggs PA

  • Pediatric Dentistry
  • El Paso, TX
  • NPI 1306155353
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700395498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCRAE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256706",
            "telephone_number": "915-592-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCRAE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256706",
            "telephone_number": "915-592-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES",
        "first_name": "EDGAR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaleeah Penny
• Liliana Teresa Penoth, MD
• Sharang Penumetsa, DPM
• Tracie L Pepen, APRN, MSN , FNP-C
• Stephen A Peppy, DO
• Jaime Perales Jr.
• Lilia Rocio Perales, ATC, LAT
• Mary M Perales, LMT
• Diego Peralta Rojas, M.D.
• Jasmine Peralta, PA-C

• Pediatric Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.