Active NPI
Sean Perez, DDS
- Dentist
- Weston, FL
National Provider Identifier
1962015990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25392
- Practice address
- 2721 Executive Park Dr Ste 1
Weston, FL 33331-3640 - Phone
- (954) 385-5855
- NPI assigned
- Aug 28, 2020
- 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 | 25392 | FL | Primary |
Addresses
Primary practice location
2721 Executive Park Dr Ste 1
Weston, FL 33331-3640
Mailing address
19990 SW 184TH St
Miami, FL 33187-1518
Phone (786) 567-2844
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 |
|---|---|---|---|
| 25392 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Partners of Weston | Dentist | Past | Accepting new patients |
| Royal Oaks Dental Partners, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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
- Weston, FL
- NPI 1497802284
-
- Dentist
- Miami Lakes, FL
- NPI 1497804488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1962015990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19990 SW 184TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331871518",
"telephone_number": "786-567-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 EXECUTIVE PARK DR STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333313640",
"telephone_number": "954-385-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SEAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "25392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.