Periodontal Associates, LLP

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL ASSOCIATES, LLP

Practice address

845 N Michigan Ave Ste 940W
Chicago, IL 60611-2216

Phone

(312) 751-1020

Fax

(312) 751-1231

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Homola

Title

Office Manager

Phone

(312) 751-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nolen L. Levine, D.D.S.

  • Periodontics
  • Oak Brook, IL
  • NPI 1497933261
  NPD (past)
• Marmar Modarressi, DDS, MS

  • Periodontics
  • Chicago, IL
  • NPI 1699973636
  NPD (past)

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1508355678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 940W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112216",
            "telephone_number": "312-751-1020",
            "fax_number": "312-751-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 940W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112216",
            "telephone_number": "312-751-1020",
            "fax_number": "312-751-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "HOMOLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-751-1020"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peridot Counseling PLLC
• Emilie S Perigo, M.D.
• Perinatal Home Medical Supply, Inc.
• Perinatal Mental Health Center of Chicago PLLC
• Malavika Kalyani Perinchery, MD
• Periodontal Medicine and Surgical Specialists, LLC
• Periodontics & Dental Implant Center LTD
• Periodontics and Implant Dentistry LLC
• Periodontics LTD.
• Angela Perizes, RD,LDN

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.