Perio Aesthetics & Implantology

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D8051 Issued in OR

Legal business name

PERIO AESTHETICS & IMPLANTOLOGY

Practice address

15455 NW Greenbrier Pkwy
Suite 235
Beaverton, OR 97006-7374

Phone

(503) 645-3333

Fax

(503) 645-1760

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Alexis K McClain

Title

Front Office Coordinator

Phone

(503) 645-3333

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.

• Alexandra C. De Millo Terrazzani, D.D.S.

  • Periodontics
  • Bastrop, TX
  • NPI 1457667842
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174646129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-645-3333",
            "fax_number": "503-645-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY",
            "address_2": "SUITE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067374",
            "telephone_number": "503-645-3333",
            "fax_number": "503-645-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIO AESTHETICS & IMPLANTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FRONT OFFICE COORDINATOR",
        "authorized_official_telephone_number": "503-645-3333"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D8051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Pereira
• Martha Perez Angulo, CADC-I, CRM
• Kelly Beth Perez de la Cruz, MSW, LCSW
• Alexis Perez
• Lillian Elizabeth Perez
• David Edward Perkins, RN
• Perledent Dental Care, PC
• Christine Bette Perrine
• Elena Victoria Perrine
• Chris Perry, MS, CRC, NCC, LPCI

• Periodontics in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Periodontics in Oregon

• 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.