Active NPI
John B Perez DDS
- Dental Clinic/Center
- Gilroy, CA
National Provider Identifier
1861645327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 28478
- Legal business name
- JOHN B PEREZ DDS
- Practice address
- 7880 Wren Ave Ste F162
Gilroy, CA 95020-7802 - Phone
- (408) 847-4550
- Fax
- (408) 848-1784
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Barron Perez, DDS
- Title
- General Dentist
- Phone
- (408) 847-4550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 28478 | CA | Primary |
Addresses
Primary practice location
7880 Wren Ave Ste F162
Gilroy, CA 95020-7802
Mailing address
7880 Wren Ave Ste F162
Gilroy, CA 95020-7802
Phone (408) 847-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089541 | Medicaid | CA |
Other names 1
- General Corporation
National Provider Directory
National Provider DirectoryLocations
7880 Wren Ave
Ste F162
Gilroy, CA 95020
Phone (408) 847-4550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Gilroy, CA
- NPI 1417089541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1861645327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7880 WREN AVE STE F162",
"city": "GILROY",
"state": "CA",
"postal_code": "950207802",
"telephone_number": "408-847-4550",
"fax_number": "408-848-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7880 WREN AVE STE F162",
"city": "GILROY",
"state": "CA",
"postal_code": "950207802",
"telephone_number": "408-847-4550",
"fax_number": "408-848-1784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN B PEREZ DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BARRON",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "408-847-4550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "28478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417089541",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "General Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.