Active NPI
Louis C. Peron, DDS PC
- Endodontics
- Virginia Beach, VA
National Provider Identifier
1669491544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401004795
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryLocations
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.
-
- Periodontics
- Virginia Beach, VA
- NPI 1558397547
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.