Perico, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERICO, PC

Practice address

300 Boylston St.
Suite 202
Chestnut Hill, MA 02467

Phone

(617) 340-6097

NPI assigned

Nov 23, 2021

Organization subpart

Yes

Parent organization

PERICO PCAs reported in NPPES

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

Authorized official

Name

Nancy M. Griffin

Title

Practice Administrator

Phone

(781) 596-2220

Specialties & licenses 1

Addresses

Tax ID family

Perico PC3 organizations share this tax ID, including this one

Part of

Perico PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Perico Implants North

  • Periodontics
  • Reading, MA
  • NPI 1306126735
  NPD tax ID
• Perico, PC

  • Periodontics
  • Swampscott, MA
  • NPI 1437393139
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Perico, PC

  • Periodontics
  • Swampscott, MA
  • NPI 1437393139
  NPPES parent name

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1184381345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HUMPHREY ST.",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072542",
            "telephone_number": "781-596-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOYLSTON ST.",
            "address_2": "SUITE 202",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-340-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERICO, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERICO PC",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-596-2220"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarah Beckwith Pava, AU.D.
• Pediatric Health at Chestnut Hill
• Azure Pellegrino, BCBA
• Dominic D Pennachio, M.D.
• Ana Perez Lugones, PTA
• Personalized Medical Care LLC
• Alison Petok, LICSW
• Van Pham, MD
• Ingrid L Philemond, NURSE PRACTITIONER
• Philip Triffletti MD PLLC

• Periodontics in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.