Perio Az LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIO AZ LLC

Practice address

3148 N Swan Rd
Tucson, AZ 85712-1227

Phone

(520) 790-2151

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Garcia Rocha

Title

Sr Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Graig D. Brown, DDS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Ann Hester, RDH, BS

  • Dental Hygienist
  • Tucson, AZ
  • NPI 1356925051
  NPD
• Graig D Brown, D.D.S, M.S.

  • Periodontics
  • Tucson, AZ
  • NPI 1497755102
  NPD (past)

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1053164673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-790-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-790-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIO AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graig D. Brown, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Performance Enhancement and Rehabilitation Inc
• Carl J Pergam, MD
• Mandy Perigo, CTRS
• Rafael F Perini, MD
• Keli Marie Perino, RDN
• Robert Fleming Perkin, DMD,MPH
• Jonny Sue Perkins-Snyder, P.T.
• April Joanna Perkins, FNP-C
• Christy Jane Perkins, AGACNP
• Natalie A Perkins, PHARMD

• Periodontics in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.