Periodontology Associates of Concord, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTOLOGY ASSOCIATES OF CONCORD, PLLC

Doing business as

Periodontology Associates of Concord

Practice address

290 Baker Ave Ste 3
Concord, MA 01742-2189

Phone

(978) 369-5521

NPI assigned

Jan 7, 2019

Last updated

Jan 7, 2019By 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

Erin Richard

Title

Office Manager

Phone

(508) 653-6263

Specialties & licenses 1

Addresses

Other names 1

• Periodontology Associates of Concord Doing business as

Locations

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1568935153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE STE 3",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE STE 3",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTOLOGY ASSOCIATES OF CONCORD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-653-6263"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontology Associates of Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Marie Peck, M.S., CF-SLP
• Pediatric Dentistry
• Zachary Miles Pelkey
• Jeffrey Perez
• Periodontology Assoc
• Sherriann Perivolotis, CNM
• Jane Edith Perkin, RN, BC, MA, CAGS
• Alexis C Perkins, MD
• Katherine Elizabeth Perrone, WHNP
• Zachary Pessia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.