Active NPI
Indira Perez, D.M.D
- General Practice Dentistry
- Miami Beach, FL
National Provider Identifier
1841694007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 20876
- Practice address
- 6770 Indian Creek Dr
Apt 12T
Miami Beach, FL 33141-5716 - Phone
- (786) 838-3211
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 20876 | FL | Primary |
Addresses
Primary practice location
6770 Indian Creek Dr
Apt 12T
Miami Beach, FL 33141-5716
Mailing address
6770 Indian Creek Dr
Apt 12T
Miami Beach, FL 33141-5716
Phone (786) 838-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20160127001856 | FL | Order and Referring Only - Dentist | 8325341233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 20876 | FL | MD | General Practice Dentistry |
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1841694007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 INDIAN CREEK DR",
"address_2": "APT 12T",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331415716",
"telephone_number": "786-838-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 INDIAN CREEK DR",
"address_2": "APT 12T",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331415716",
"telephone_number": "786-838-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "INDIRA",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 20876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.