Menon Periodontics and Implants, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S30 Issued in MN

Legal business name

MENON PERIODONTICS AND IMPLANTS, LLC

Practice address

1880 Livingston Ave
Suite # 101
West Saint Paul, MN 55118-3425

Phone

(651) 646-1318

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hema V Menon, BDS, MS

Title

Periodontist

Phone

(651) 646-1318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1225425309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE",
            "address_2": "SUITE # 101",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE",
            "address_2": "SUITE # 101",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183425",
            "telephone_number": "651-646-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENON PERIODONTICS AND IMPLANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "HEMA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "651-646-1318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "S30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanael Joseph Kreager, D.D.S.
• Peter Lee Ladd, D.C.
• Christina Marie Losasso, NP
• Lubomir Serafimov DDS , P.a.
• Kendall Wike Matthews, PA-C
• Mercy Hill Health LLC
• Nathan Andrew Milender, RN, FNP
• Justyn Patrick Mileski, PHARM.D.
• Meleah H. Miller, LMFT
• Robert Parnell Miller, D.D.S M.S

• Periodontics in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.