The Perioclinic LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4832 Issued in LA

Legal business name

THE PERIOCLINIC LLC

Practice address

337 Metairie Rd
Suite 301
Metairie, LA 70005-4338

Phone

(504) 831-0800

Fax

(504) 831-0866

NPI assigned

May 28, 2014

Last updated

May 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hisham F Nasr, DDSNPI 1104047976

Title

Doctor/Member

Phone

(504) 831-0800

Specialties & licenses 1

Addresses

Tax ID family

The Perioclinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Perioclinic LLC

  • Dental Clinic/Center
  • Metairie, LA
  • NPI 1790026953
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hisham F Nasr, D.D.S., M.SC.D.

  • Periodontics
  • Metairie, LA
  • NPI 1104047976
  NPD (past) Authorized official
• Ana Margarita Saenz, D.D.S., M.SC., PHD.

  • Periodontics
  • Metairie, LA
  • NPI 1225242746
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1467864256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 METAIRIE RD",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054338",
            "telephone_number": "504-831-0800",
            "fax_number": "504-831-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 METAIRIE RD",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054338",
            "telephone_number": "504-831-0800",
            "fax_number": "504-831-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERIOCLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR/MEMBER",
        "authorized_official_telephone_number": "504-831-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Perioclinic LLC
• The Primary Care Group of East Jefferson, LLC
• The Refuge 18-2 LLC
• The Retina Institute, L.L.C.
• The Rheumatology Group, LLC

• Periodontics in Metairie, LA
• Providers in Metairie, LA by specialty
• Periodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.