Luis Augusto Perez, D.D.S.,M.S.,P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901017487 Issued in MI

Practice address

2222 S Linden Rd
Suite D
Flint, MI 48532-5475

Phone

(810) 230-1311

Fax

(810) 230-1314

NPI assigned

Jul 27, 2006

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Luis a Perez DDS Ms PC

  • Periodontics
  • Flint, MI
  • NPI 1316664709
  NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1740204023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-230-1311",
            "fax_number": "810-230-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S LINDEN RD",
            "address_2": "SUITE D",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325475",
            "telephone_number": "810-230-1311",
            "fax_number": "810-230-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LUIS",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901017487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkatasiva Reddy Peram, M.D.
• Carly Percy, MA, TLLP
• Miguel Francisco Perez-Pascual, M.D.
• Irene Maria Perez
• Kaitlin Perez
• Raul Perez, LHAS
• Troy Perez, SST
• Periodontal Specialists of Flint PC
• Tiara Lauryn Perkins, B.A.P.S.Y.
• Patricia A. Perrine, FNP

• Periodontics in Flint, MI
• Providers in Flint, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.