MARK RICHARD PEREZ (NPI# 1922181742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922181742 |
| Entity Type | Individual |
| Full Name | MARK RICHARD PEREZ |
| Credential | DDS |
| Practice Address |
11503 Sunrise Valley Dr Reston VA 20191 |
| Mailing Address |
18708 Olney Mill Rd Olney MD 20832 |
| Practice Telephone | 7038603200 |
| Practice Fax Number | 7034766794 |
| Mailing Telephone | 3012601571 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401008179 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952733883 | Mark Bautista Perez | Registered Nurse | 9417 Dunbar Dr, Oakland, CA 94603-3014 | 2013-08-01 |
| 1376703652 | Mark Perez | Contractor | 10345 Park Glenn Way, Suite 220, Parker, CO 80138 | 2008-06-11 |
| 1033314992 | Mark C Perez | Dentist | 6318 Fairmount Ave, El Cerrito, CA 94530-3648 | 2007-06-19 |
| 1487788642 | Mark H Perez | Physical Therapist | 92-6017 Puapake St, Kapolei, HI 96707-2392 | 2007-03-16 |
| 1720152473 | Mark A Perez | Family Medicine | 4275 Burnham Ave. Suite 210, Las Vegas, NV 89119-5488 | 2006-11-17 |
| 1396740783 | Mark David Perez | Family Medicine | 3601 W Commercial Blvd Ste 20, Fort Lauderdale, FL 33309-3334 | 2005-06-14 |
| 1447896873 | Mark Odilon Perez | Chiropractor | 5191 S Yosemite St Ste A, Greenwood Village, CO 80111-3360 | 2019-11-20 |
| 1306491840 | Mark Perez | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199-2516 | 2019-08-01 |
| 1013314228 | Mark Perez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2014-12-03 |
| 1497019558 | Mark Anthony Perez | Counselor | 335 E Lake Ave, Watsonville, CA 95076-4826 | 2012-07-03 |
| Street Address |
11503 SUNRISE VALLEY DR |
| City | RESTON |
| State | VA |
| Zip Code | 20191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043273394 | Joseph Edward Rusz Jr. | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-04-08 |
| 1386255073 | Faranak Mahjour | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2020-08-14 |
| 1952930778 | Angel A Simmons | Dental Hygienist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2020-04-03 |
| 1932272671 | Robert M Averne | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-17 |
| 1255403283 | Zachary A Casagrande | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1245302272 | Haress Rahim | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-11-14 |
| 1720158975 | Kathleen G Dillon | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191 | 2006-11-08 |
| 1972697043 | Wayne Joseph Dollard | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-10-03 |
| 1295741411 | Scott Arthur Synnott | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-31 |
| 1487679338 | Matthew John Gramkee | Dentist | 11503 Sunrise Valley Dr, Reston, VA 20191-1505 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| 1346859717 | Arya Mazda Mansouri | Dentist | 1334 Dasher Ln, Reston, VA 20190-3940 | 2020-07-30 |
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1003460718 | Ah Young Hong | Dentist | 1855 Saint Francis St Apt 406, Reston, VA 20190-6249 | 2019-07-31 |
| 1245724806 | Hala Elham Imam | Dentist | 1976 Crescent Park Dr, Reston, VA 20190-3288 | 2018-06-18 |
| 1386013746 | Ksheera Appachu | Dentist | 1855 Saint Francis St Apt 203, Reston, VA 20190-6248 | 2015-09-16 |
| 1558738013 | Julija Kondratyuk | Dentist | 11575 N Shore Dr Apt 1, Reston, VA 20190-4328 | 2015-08-31 |
| 1841677085 | Sepideh Badriahari | Dentist | 11654 Plaza America Dr, 637, Reston, VA 20190-4700 | 2015-04-27 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1205113297 | Joy Jang | Dentist | 1984 Isaac Newton Square W, Suite 100, Reston, VA 20190-5038 | 2011-11-04 |
| Find all providers in RESTON | ||||
Please comment or provide details below to improve the information on MARK RICHARD PEREZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.