NPIMap

Organization Active NPI

Periodoc, LLC

  • Periodontics
  • Spring Hill, FL
National Provider Identifier
1659794956
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10916 Issued in FL
Legal business name
PERIODOC, LLC
Practice address
7320 Forest Oaks Blvd
Spring Hill, FL 34606-2401
Phone
(352) 596-1771
Fax
(352) 596-6067
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Jeffrey Alan Hameroff, DDSNPI 1285725648
Title
Owner/President
Phone
(352) 596-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 10916 FL Primary

Addresses

Primary practice location

7320 Forest Oaks Blvd
Spring Hill, FL 34606-2401

Mailing address

7320 Forest Oaks Blvd
Spring Hill, FL 34606-2401
Phone (352) 596-1771

National Provider Directory

National Provider Directory

Locations

7320 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 596-1771

Practitioners & affiliated clinicians

Practitioners 1

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": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1659794956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062401",
            "telephone_number": "352-596-1771",
            "fax_number": "352-596-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062401",
            "telephone_number": "352-596-1771",
            "fax_number": "352-596-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "HAMEROFF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-596-1771",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "10916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.