NPIMap

Organization Active NPI

Periodontal Care Center, PLLC

  • Periodontics
  • Hendersonville, TN
National Provider Identifier
1659668226
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
8167 Issued in TN
Legal business name
PERIODONTAL CARE CENTER, PLLC
Practice address
100 Springhouse CT
Suite 220
Hendersonville, TN 37075-1609
Phone
(615) 264-6404
NPI assigned
Jul 5, 2011
Last updated
Mar 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Jean-Max Jean-Pierre, DDSNPI 1164547139
Title
Owner
Phone
(615) 264-6404

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 8167 TN Primary

Addresses

Primary practice location

100 Springhouse CT
Suite 220
Hendersonville, TN 37075-1609

Mailing address

100 Springhouse CT
Suite 220
Hendersonville, TN 37075-1609
Phone (615) 264-6404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1659668226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 220",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-264-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT",
            "address_2": "SUITE 220",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751609",
            "telephone_number": "615-264-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "JEAN-PIERRE",
        "authorized_official_first_name": "JEAN-MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-264-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "8167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.