Ortal Peretz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38566 Issued in TX

Practice address

2310 SW Military Dr Ste 406
San Antonio, TX 78224-1409

Phone

(210) 927-1400

Fax

(210) 927-6330

NPI assigned

Oct 19, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• South Park Family Dental Care PA

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1467586768
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1831815075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241409",
            "telephone_number": "210-927-1400",
            "fax_number": "210-927-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241409",
            "telephone_number": "210-927-1400",
            "fax_number": "210-927-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETZ",
        "first_name": "ORTAL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismahan Pereida
• Jessica D Pereira, LSW
• Thanya Pereira
• Ana F Perel, LCSW
• Amanda Sousa Peres, PA-C
• Tracy Renee Pereyda, BEHAVIOR HEALTH
• Elizabeth Perez Acosta
• Danna Perez Aguilar
• Perez Clinical Psychotherapy
• Moxy Kristine Perez Coley, NP

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.