Edna Perez, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN18234 Issued in FL

Practice address

1600 SW Archer Road Department of Pediatric Dentistry
College of Dentistry, University of Florida
Gainesville, FL 32610-0426

Phone

(352) 273-7631

Fax

(352) 273-6765

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: eperez9584@direct.shands.ufl.edu

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1962536714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100426 DEPARTMENT OF PEDIATRIC DENTISTRY",
            "address_2": "COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100426",
            "telephone_number": "352-273-7631",
            "fax_number": "352-273-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER ROAD DEPARTMENT OF PEDIATRIC DENTISTRY",
            "address_2": "COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100426",
            "telephone_number": "352-273-7631",
            "fax_number": "352-273-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDNA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Christopher Perez, B.S.
• Daniel Joseph Perez
• Daniela Perez, DMD
• David Perez, L.M.H.C.
• Edgar Christopher Perez
• Emanuel Perez, CAA
• Iraida Perez
• Janelle Perez
• Jennifer Perez
• Jennifer Anne Perez, PHARMD

• Pediatric Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.