Active NPI
Francisco M Perez, DMD MSD
- Oral and Maxillofacial Surgery (Dentist)
- Edinburg, TX
National Provider Identifier
1851381214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 20137
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 20137 | TX | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155175607 | Other | TX | CSHCN DENTAL MEDICAID |
| 155175606 | Other | TX | THSTEPS DENTAL MEDICAID |
| 155175609 | Other | TX | CSHCN MEDICAL MEDICAID |
| 155175608 | Other | TX | TRADITIONAL 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20137 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral and Maxillofacial Surgery of South Texas, P.a. | Oral and Maxillofacial Surgery | Current | 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 | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Edinburg, TX
- NPI 1043544893
-
- Oral and Maxillofacial Surgery (Dentist)
- Edinburg, TX
- NPI 1629067657
-
- Oral and Maxillofacial Pathology Dentistry
- Laredo, TX
- NPI 1104956630
Oral and Maxillofacial Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.