Active NPI
Henry Joseph Perez Jr., D.D.S.
- Dentist
- Oxnard, CA
National Provider Identifier
1801917711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- B31355
- Practice address
- 132 S a St Ste B
Oxnard, CA 93030-5690 - Phone
- (805) 240-0035
- Fax
- (805) 240-0038
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | B31355 | CA | Primary |
Addresses
Primary practice location
132 S a St Ste B
Oxnard, CA 93030-5690
Mailing address
132 S a St Ste B
Oxnard, CA 93030-5690
Phone (805) 240-0035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802002561 | CA | Practitioner - Dentist | 0547664302 | Practice locations: Oxnard, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B31355 | CA | MD | Dentist |
| 31355 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1801917711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 S A ST STE B",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305690",
"telephone_number": "805-240-0035",
"fax_number": "805-240-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 S A ST STE B",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305690",
"telephone_number": "805-240-0035",
"fax_number": "805-240-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "HENRY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "B31355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.