Individual provider Active NPI

Monica Perez, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1952538142
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18655 Issued in FL
Practice address
15711 Mapledale Dr Ste a
Tampa, FL 33624-3112
Phone
(813) 624-1600
Fax
(813) 264-1660
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18655 FL Primary

Addresses

Primary practice location

15711 Mapledale Dr Ste a
Tampa, FL 33624-3112

Mailing address

13442 Canopy Creek Dr
Tampa, FL 33625-5916
Phone (305) 219-8991

Other names 1

  • Monica Perez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20151102001408 FL Order and Referring Only - DentistPractitioner - Dentist 9537479647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Smiles, PLLC General Practice CurrentSince Apr 14, 2024 Accepting new patients

Locations

15711 Mapledale Dr
Ste A
Tampa, FL 33624
Phone (813) 264-1600

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1952538142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 CANOPY CREEK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255916",
            "telephone_number": "305-219-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15711 MAPLEDALE DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243112",
            "telephone_number": "813-624-1600",
            "fax_number": "813-264-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "PEREZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.