Perico Implants North

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN12961 Issued in MA

Legal business name

PERICO IMPLANTS NORTH

Practice address

95 Walkers Brook Dr.
Reading, MA 01867-3238

Phone

(781) 245-8811

Fax

(781) 694-3596

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Nancy Martin Griffin

Title

Business Manager

Phone

(781) 596-2220

Specialties & licenses 1

Addresses

Tax ID family

Perico PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Perico, PC

  • Periodontics
  • Chestnut Hill, MA
  • NPI 1184381345
  NPD tax ID
• Perico, PC

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

Locations

Practitioners 2

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

• Hailey B Hildenbrandt, D.D.S.

  • Periodontics
  • Reading, MA
  • NPI 1215670484
  NPD (past)
• Arthur I. Schwartz, D.M.D.

  • Periodontics
  • Wakefield, MA
  • NPI 1083695019
  NPD (past)

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1306126735",
    "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",
            "fax_number": "781-598-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WALKERS BROOK DR.",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673238",
            "telephone_number": "781-245-8811",
            "fax_number": "781-694-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERICO IMPLANTS NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "781-596-2220"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN12961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Diane Pan, MS, RD, LDN
• Regina M Paolini, LMHC
• Emily Larose Parent
• Jun Young Park, DDS
• Sarah Pedersen
• John Christopher Petrozza, MD
• Phit
• Dominie Laura Piaseczynski, LICSW
• Silvia Pisano
• Pitcher Dental, LLC

• Periodontics in Reading, MA
• Providers in Reading, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.