Organization Active NPI

Louis C. Peron, DDS PC

  • Endodontics
  • Virginia Beach, VA
National Provider Identifier
1669491544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401004795 Issued in VA
Legal business name
LOUIS C. PERON, DDS PC
Practice address
641 Lynnhaven Pkwy
Suite 202
Virginia Beach, VA 23452-7307
Phone
(757) 467-2102
Fax
(757) 486-4262
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Louis Craig Peron, D.D.S., M.S.
Title
President/Endodontist (Owner)
Phone
(757) 467-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 0401004795 VA Primary

Addresses

Primary practice location

641 Lynnhaven Pkwy
Suite 202
Virginia Beach, VA 23452-7307

Mailing address

641 Lynnhaven Pkwy
Suite 202
Virginia Beach, VA 23452-7307
Phone (757) 467-2102

National Provider Directory

National Provider Directory

Locations

641 Lynnhaven Pkwy
Ste 202
Virginia Beach, VA 23452
Phone (757) 340-2356

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669491544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LYNNHAVEN PKWY",
            "address_2": "SUITE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527307",
            "telephone_number": "757-467-2102",
            "fax_number": "757-486-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LYNNHAVEN PKWY",
            "address_2": "SUITE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527307",
            "telephone_number": "757-467-2102",
            "fax_number": "757-486-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS C. PERON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/ENDODONTIST (OWNER)",
        "authorized_official_telephone_number": "757-467-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401004795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.