NPIMap

Organization Active NPI

PC Dental Specialties Luis Pires DMD LLC

Doing business as Fairlawn Periodontics

  • Periodontics
  • Fairlawn, OH
National Provider Identifier
1073285961
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PC DENTAL SPECIALTIES LUIS PIRES DMD LLC
Doing business as
Fairlawn Periodontics
Practice address
33 Baker Blvd Ste 201
Fairlawn, OH 44333-3650
Phone
(330) 836-9341
NPI assigned
Sep 29, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Luis Pires, DMD
Title
Owner
Phone
(330) 836-9341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

33 Baker Blvd Ste 201
Fairlawn, OH 44333-3650

Mailing address

33 Baker Blvd Ste 201
Fairlawn, OH 44333-3650
Phone (330) 836-9341

Other names 1

  • Fairlawn Periodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1073285961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAKER BLVD STE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333650",
            "telephone_number": "330-836-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BAKER BLVD STE 201",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333650",
            "telephone_number": "330-836-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC DENTAL SPECIALTIES LUIS PIRES DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PIRES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-836-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairlawn Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.