Active NPI
Stephen J Pere, DMD
- Dentist
- Sarasota, FL
National Provider Identifier
1891997656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN12608
- Practice address
- 1878 Stickney Point Rd
Sarasota, FL 34231-8847 - Phone
- (941) 966-4414
- Fax
- (941) 966-4222
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN12608 | FL | Primary |
Addresses
Primary practice location
1878 Stickney Point Rd
Sarasota, FL 34231-8847
Mailing address
1878 Stickney Point Rd
Sarasota, FL 34231-8847
Phone (941) 966-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12608 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SRQ Group, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Sarasota, FL
- NPI 1285970335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1891997656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1878 STICKNEY POINT RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318847",
"telephone_number": "941-966-4414",
"fax_number": "941-966-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1878 STICKNEY POINT RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318847",
"telephone_number": "941-966-4414",
"fax_number": "941-966-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERE",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN12608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.