MICHELLE N. PEREZ DMD NPI 1073779633

NPI Information

NPI: 1073779633
Provider Name: MICHELLE N. PEREZ, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
825 EUCLID AVE
KANSAS CITY, MO
ZIP 64124
Phone: (816) 474-4920
Get Directions

Michelle N. Perez, DMD is a general practice dentist in Kansas City, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Michelle N. Perez, DMD NPI is 1073779633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

825 EUCLID AVE
KANSAS CITY, MO
ZIP 64124-323
Phone: (816) 474-4920
Fax: (816) 474-4914

The NPI 1073779633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/4/2008 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	60589	KANSAS	No
2	1223G0001X	Dentist	General Practice	2011001777	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002063585	OTHER	KANSAS	UNITED CONCORIDA
2	200579650A	MEDICAID	KANSAS
3	C16000067	OTHER	MISSOURI	PTAN
4	1073779633	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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