Individual provider Active NPI

Francisco M Perez, DMD MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
National Provider Identifier
1851381214
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20137 Issued in TX
Practice address
4728 S Jackson Rd
Edinburg, TX 78539-6199
Phone
(956) 878-1222
Fax
(956) 878-1228
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 20137 TX Primary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 20137 TX

Addresses

Primary practice location

4728 S Jackson Rd
Edinburg, TX 78539-6199

Mailing address

4728 S Jackson Rd
Edinburg, TX 78539-6199
Phone (956) 878-1222

Other identifiers 4

IdentifierTypeStateIssuer
155175607OtherTXCSHCN DENTAL MEDICAID
155175606OtherTXTHSTEPS DENTAL MEDICAID
155175609OtherTXCSHCN MEDICAL MEDICAID
155175608OtherTXTRADITIONAL MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000194 TX Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 5799670360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20137TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgery of South Texas, P.a. Oral and Maxillofacial Surgery CurrentSince Apr 21, 2010 Accepting new patients
Saint Joseph Oral & Maxillofacial Oral and Maxillofacial Surgery Past Accepting new patients
Reconstructive Oral and Maxillofacial Surgery PA Oral and Maxillofacial Surgery PastSince May 1, 2001 Accepting new patients

Locations

4728 S Jackson Rd
Edinburg, TX 78539
Phone (956) 878-1222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1851381214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396199",
            "telephone_number": "956-878-1222",
            "fax_number": "956-878-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396199",
            "telephone_number": "956-878-1222",
            "fax_number": "956-878-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FRANCISCO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20137",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "20137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN DENTAL MEDICAID",
            "identifier": "155175607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS DENTAL MEDICAID",
            "identifier": "155175606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN MEDICAL MEDICAID",
            "identifier": "155175609",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL MEDICAID",
            "identifier": "155175608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.