NPIMap

Organization Active NPI

Perionorth, P.C.

  • Periodontics
  • Beverly, MA
National Provider Identifier
1396841854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
11909 Issued in MA
Legal business name
PERIONORTH, P.C.
Practice address
56 Dodge St
Beverly, MA 01915-1786
Phone
(978) 966-7666
Fax
(978) 921-1714
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas I Doben, D.M.D.NPI 1083882005
Title
President
Phone
(978) 922-7666

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 11909 MA Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 20797 MA

Addresses

Primary practice location

56 Dodge St
Beverly, MA 01915-1786

Mailing address

56 Dodge St
Beverly, MA 01915-1786
Phone (978) 966-7666

National Provider Directory

National Provider Directory

Locations

56 Dodge St
Beverly, MA 01915
Phone (978) 922-7666

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396841854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151786",
            "telephone_number": "978-966-7666",
            "fax_number": "978-921-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151786",
            "telephone_number": "978-966-7666",
            "fax_number": "978-921-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIONORTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "11909",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "20797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • 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.