Active NPI
Alien Perez Magin
- Dental Hygienist
- Port Richey, FL
National Provider Identifier
1972193480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH23717
- Practice address
- 10083 US Highway 19
Port Richey, FL 34668-3742 - Phone
- (727) 868-0200
- Fax
- (727) 868-1855
- NPI assigned
- Jan 20, 2021
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH23717 | FL | Primary |
Addresses
Primary practice location
10083 US Highway 19
Port Richey, FL 34668-3742
Mailing address
8410 Fox Hollow Dr
Port Richey, FL 34668-4212
Phone (727) 359-4990
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 |
|---|---|---|---|
| DH23717 | FL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1972193480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 FOX HOLLOW DR",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684212",
"telephone_number": "727-359-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10083 US HIGHWAY 19",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346683742",
"telephone_number": "727-868-0200",
"fax_number": "727-868-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ MAGIN",
"first_name": "ALIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH23717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.