Organization Active NPI

John B Perez DDS

  • Dental Clinic/Center
  • Gilroy, CA
National Provider Identifier
1861645327
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28478 Issued in CA
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

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. John Barron Perez, DDSNPI 1417089541
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417089541MedicaidCA

Other names 1

  • General Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.