DR. EDNA PEREZ DMD
NPI 1962536714
Dentist - Pediatric Dentistry in Gainesville, FL

NPI Status: Active since March 15, 2007

Contact Information

1600 SW ARCHER ROAD DEPARTMENT OF PEDIATRIC DENTISTRY
COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-7631
Fax: (352) 273-6765

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  • Individual
  • Female
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance
  • PECOS Enrolled

About EDNA PEREZ

This page provides the complete NPI Profile along with additional information for Edna Perez, a provider established in Gainesville, Florida with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1962536714 assigned on March 2007. The practitioner's primary taxonomy code is 1223P0221X with license number DN18234 (FL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1962536714
Provider Name
DR. EDNA PEREZ DMD
Gender
Female
Entity Type
Individual
Location Address
1600 SW ARCHER ROAD DEPARTMENT OF PEDIATRIC DENTISTRY COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA GAINESVILLE, FL 32610
Location Phone
(352) 273-7631
Location Fax
(352) 273-6765
Mailing Address
PO BOX 100426 DEPARTMENT OF PEDIATRIC DENTISTRY COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA GAINESVILLE, FL 32610
Mailing Phone
(352) 273-7631
Mailing Fax
(352) 273-6765
Is Sole Proprietor?
No
Enumeration Date
03-15-2007
Last Update Date
02-26-2020
Code Navigator

A dentist like Edna Perez is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
DN18234
License State
FL
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueDental Choice Q - PPO
  • BlueDental Choice QF - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003106100MEDICAID (05)FL 

Medicare Participation & PECOS Enrollment Status

Edna Perez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32610 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.62
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $21.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.04
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $17.51
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. EDNA PEREZ DMD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962536714, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 3 + 1 + 2 + 7 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962536714.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962536714, enumerated as an "individual" on March 15, 2007.

The provider is located at 1600 SW ARCHER ROAD DEPARTMENT OF PEDIATRIC DENTISTRY COLLEGE OF DENTISTRY, UNIVERSITY OF FLORIDA GAINESVILLE, FL 32610 and the phone number is (352) 273-7631.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Florida Combined Life, Humana, Medicare and. Please consult your insurance carrier or call the provider to verify.