NPIMap

Organization Active NPI

Perio1 LLC

  • Dental Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1295568913
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERIO1 LLC
Doing business as
Perio1 LLC
Practice address
903 Russell Ave Ste 300
Gaithersburg, MD 20879-3282
Phone
(301) 869-8884
Fax
(301) 869-8870
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Gerard Boquel, DDSNPI 1770584849
Title
Owner
Phone
(301) 869-8884

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

903 Russell Ave Ste 300
Gaithersburg, MD 20879-3282

Mailing address

903 Russell Ave Ste 300
Gaithersburg, MD 20879-3282
Phone (301) 869-8884

Other practice location 1

1350 Connecticut Ave NW Ste 305
Washington, DC 20036-1738
Phone (202) 887-5441

Other names 2

  • Perio1 LLC Doing business as
  • Gerard Boquel DDS Other name

National Provider Directory

National Provider Directory

Locations

1350 Connecticut Ave NW
Ste 305
Washington, DC 20036
Phone (202) 887-5441

903 Russell Ave
Ste 300
Gaithersburg, MD 20879
Phone (301) 869-8884

Practitioners & affiliated clinicians

Practitioners 3

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1295568913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793282",
            "telephone_number": "301-869-8884",
            "fax_number": "301-869-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RUSSELL AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793282",
            "telephone_number": "301-869-8884",
            "fax_number": "301-869-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Connecticut Ave NW Ste 305",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361738",
            "country_code": "US",
            "telephone_number": "202-887-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERIO1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "BOQUEL",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-869-8884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perio1 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gerard Boquel DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.