Organization Active NPI

Ernesto D. Perez, DDS, a Professional Corporation

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1891545380
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERNESTO D. PEREZ, DDS, A PROFESSIONAL CORPORATION
Practice address
510 Hacienda Dr Ste 108a
Vista, CA 92081-6639
Phone
(760) 936-8884
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Ernesto Perez, DDS
Title
Owner
Phone
(760) 936-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

510 Hacienda Dr Ste 108a
Vista, CA 92081-6639

Mailing address

510 Hacienda Dr Ste 108a
Vista, CA 92081-6639
Phone (760) 936-8884

National Provider Directory

National Provider Directory

Locations

510 Hacienda Dr
Ste 108A
Vista, CA 92081
Phone (760) 936-8884

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1891545380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR STE 108A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816639",
            "telephone_number": "760-936-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HACIENDA DR STE 108A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816639",
            "telephone_number": "760-936-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO D. PEREZ, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-936-8884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.