Angie Perez-Celis, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

111217 Issued in CA

Practice address

1127 Wilshire Blvd Ste 1504
Los Angeles, CA 90017-4006

Phone

(213) 201-1388

NPI assigned

Jul 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CMM Dental PC

  • General Practice Dentistry
  • Methuen, MA
  • NPI 1194069906
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1902459977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 BLUFFSIDE DR APT 411",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044491",
            "telephone_number": "818-312-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174006",
            "telephone_number": "213-201-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-CELIS",
        "first_name": "ANGIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN185871",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "111217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Perez-Aguilar, LCSW
• Raquel Perez-Asante, MD
• Evelyn Perez-Benitez
• Martha Lizette Perez-Castor
• Maricruz Perez-Cejas
• Briseida Perez-Gomez, LCSW
• Marisol Perez-Guizar
• Maritza Perez-Huerta
• Josefina Perez-Inigo Morales
• Marisa Perez-Martin, LMFT

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.

Verify at the official NPI Registry.