Team Perio, Inc., a Professional Corporation

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

TEAM PERIO, INC., A PROFESSIONAL CORPORATION

Practice address

855 W 7TH St Ste 130
Reno, NV 89503-2706

Phone

(775) 447-1191

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Eric Blasingame, DDS, MS

Title

President/Owner/Periodontist

Phone

(530) 241-3302

Specialties & licenses 1

Addresses

Practitioners 2

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

• Nathan Antoine, D.M.D.

  • Dentist
  • Reno, NV
  • NPI 1659801819
  NPD
• Elisha Cullis

  • Lactation Consultant (Non-RN)
  • Redding, CA
  • NPI 1578978268
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1083201248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W 7TH ST STE 130",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032706",
            "telephone_number": "775-447-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 7TH ST STE 130",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032706",
            "telephone_number": "775-447-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM PERIO, INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "530-241-3302",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kenneth Taylor, MD
• Morgan Taylor
• Nicola Taylor
• Taylormade Anesthesia a Professional Nursing Corporation
• Team Care Plus
• Teammd Physicians PC
• Blake H Tearnan, PH.D.
• Maria Theresa Tech, PHARMACIST
• Technical Medical LLC
• Technical Medical LLC

• Periodontics in Reno, NV
• Providers in Reno, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.