NPIMap

Organization Active NPI

Raul D Perez DDS, Inc.

Doing business as WhiteCrest - Smart Dentistry

  • Dental Clinic/Center
  • Grover Beach, CA
National Provider Identifier
1760903678
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
61046 Issued in CA
Legal business name
RAUL D PEREZ DDS, INC.
Doing business as
WhiteCrest - Smart Dentistry
Practice address
1163 W Grand Ave
Grover Beach, CA 93433-2149
Phone
(805) 904-6979
Fax
(805) 904-6979
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Raul Dario Perez, DDSNPI 1407125651
Title
Dentist
Phone
(805) 904-6979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 61046 CA Primary

Addresses

Primary practice location

1163 W Grand Ave
Grover Beach, CA 93433-2149

Mailing address

1163 W Grand Ave
Grover Beach, CA 93433-2149
Phone (805) 904-6979

Other names 1

  • WhiteCrest - Smart Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1163 W Grand Ave
Grover Beach, CA 93433
Phone (805) 481-3363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1760903678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332149",
            "telephone_number": "805-904-6979",
            "fax_number": "805-904-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 W GRAND AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332149",
            "telephone_number": "805-904-6979",
            "fax_number": "805-904-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL D PEREZ DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-904-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhiteCrest - Smart Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grover Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.