Clementina Perez-West, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11766 Issued in MD

Practice address

11400 Rockville Pike Ste 509
Rockville, MD 20852-3024

Phone

(301) 881-7646

Fax

(301) 881-7688

NPI assigned

Mar 11, 2009

Sex

Female

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• North Bethesda Dental Associates, P.C.

  • Dentist
  • Rockville, MD
  • NPI 1619430949
  NPD (past)

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1821239484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 509",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523024",
            "telephone_number": "301-881-7646",
            "fax_number": "301-881-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE STE 509",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523024",
            "telephone_number": "301-881-7646",
            "fax_number": "301-881-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-WEST",
        "first_name": "CLEMENTINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayo Perez Cazares
• Indira N/a Perez Falcon, ABAT
• Mayra Arly Perez Martinez
• Daniela Perez Robalino
• Maria Perez Valdez
• Aaliyah Perez
• Alexander Perez
• Ariana Perez
• Beronica Perez
• Jennifer Perez

• Dentist in Rockville, MD
• Providers in Rockville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.

Verify at the official NPI Registry.