Organization Active NPI

Federico J Perez DMD Inc

Doing business as iSmile Dental Practice

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1952925760
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FEDERICO J PEREZ DMD INC
Doing business as
iSmile Dental Practice
Practice address
301 SE 16TH St
Fort Lauderdale, FL 33316-2505
Phone
(954) 462-5252
Fax
(954) 462-5145
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Federico J Perez, DMD
Title
Dentist/Owner
Phone
(954) 462-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 SE 16TH St
Fort Lauderdale, FL 33316-2505

Mailing address

301 SE 16TH St
Fort Lauderdale, FL 33316-2505
Phone (954) 462-5252

Other names 1

  • iSmile Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

301 SE 16th St
Fort Lauderdale, FL 33316
Phone (954) 462-5252

Practitioners & affiliated clinicians

Practitioners 2

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1952925760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SE 16TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162505",
            "telephone_number": "954-462-5252",
            "fax_number": "954-462-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SE 16TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162505",
            "telephone_number": "954-462-5252",
            "fax_number": "954-462-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERICO J PEREZ DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "954-462-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmile Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.