Organization Active NPI

Fernando Perez DMD PLLC

Doing business as DentisTrust

  • Dental Clinic/Center
  • Tomball, TX
National Provider Identifier
1720480502
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28477 Issued in TX
Legal business name
FERNANDO PEREZ DMD PLLC
Doing business as
DentisTrust
Practice address
24225 Kuykendahl Rd.
Suite 100
Tomball, TX 77375
Phone
(413) 454-7879
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Fernando A Perez, DMD
Title
Dentist
Phone
(413) 454-7879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 28477 TX Primary

Addresses

Primary practice location

24225 Kuykendahl Rd.
Suite 100
Tomball, TX 77375

Mailing address

6807 Auburn Sands Dr
Spring, TX 77389-2056
Phone (413) 454-7879

Other names 1

  • DentisTrust Doing business as

National Provider Directory

National Provider Directory

Locations

24225 Kuykendahl Rd
Ste 100
Tomball, TX 77375
Phone (413) 454-7879

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1720480502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 AUBURN SANDS DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892056",
            "telephone_number": "413-454-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24225 KUYKENDAHL RD.",
            "address_2": "SUITE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "413-454-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO PEREZ DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "413-454-7879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "28477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentisTrust",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.