Periodontal Care & Implant Center

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6418 Issued in KY

Legal business name

PERIODONTAL CARE & IMPLANT CENTER

Practice address

3409 Stony Spring Cir
Louisville, KY 40220-5433

Phone

(502) 499-6171

Fax

(502) 499-9980

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Kaye Corbit

Title

Office Manager

Phone

(502) 499-6171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jill Hayes Bassett, DMD

  • Periodontics
  • Louisville, KY
  • NPI 1720009418
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114944816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205433",
            "telephone_number": "502-499-6171",
            "fax_number": "502-499-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205433",
            "telephone_number": "502-499-6171",
            "fax_number": "502-499-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL CARE & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORBIT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-499-6171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "6418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Unity Behavioral Health LLC
• Perfect X Services LLC
• Danielle Renee Periago, DMD
• Perinatal Princess Group Therapy
• Perinatal Princess PLLC
• Periodontic & Endodontic Services-Jefferson Mall, PLLC
• Perioimplant Associates, PSC
• Alfred L. Perkins, MSSW, LCSW
• Andrea M Perkins, LCSW
• Britney Nicole Perkins, APRN

• Periodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Periodontics in Kentucky

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