Periogoldental P.a

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

20347 Issued in TX

Legal business name

PERIOGOLDENTAL P.A

Practice address

115 N Dixie Dr Ste 300
Lake Jackson, TX 77566-5958

Phone

(979) 285-9998

Fax

(979) 480-0411

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Cristina Ross, DDSNPI 1275516031

Title

President

Phone

(979) 285-9998

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cristina Ross, DDS

  • Periodontics
  • Lake Jackson, TX
  • NPI 1275516031
  NPD (past) Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1659507002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N DIXIE DR STE 300",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665958",
            "telephone_number": "979-285-9998",
            "fax_number": "979-480-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N DIXIE DR STE 300",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665958",
            "telephone_number": "979-285-9998",
            "fax_number": "979-480-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIOGOLDENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-285-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamim Patni, M.D., MPH
• Ron Paul, MD
• Grace Pavlovsky, D.C.
• Pediatric Urgent Care of Texas PLLC
• Frank Adolph Peltier, M.D.
• Perisseuo Group LLC
• Perisseuo Group LLC
• Perry Mueller, Jr. DDS Inc
• Rachelle D Perry, RBT
• Donovan Pham

• Dental Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.