Organization Active NPI

Perio Studio Associates PC

  • Dental Clinic/Center
  • Boston, MA
National Provider Identifier
1114790508
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERIO STUDIO ASSOCIATES PC
Practice address
10 Tremont St Ste 402
Boston, MA 02108-2062
Phone
(617) 523-2459
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Dr. Irina F Dragan, DMDNPI 1902144678
Title
Dentist Owner
Phone
(347) 249-1729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

10 Tremont St Ste 402
Boston, MA 02108-2062

Mailing address

10 Tremont St Ste 402
Boston, MA 02108-2062
Phone (617) 523-2459

Other names 1

  • The Perio Studio 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.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1114790508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TREMONT ST STE 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082062",
            "telephone_number": "617-523-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TREMONT ST STE 402",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082062",
            "telephone_number": "617-523-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIO STUDIO ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "DRAGAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "347-249-1729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Perio Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.