Periodontal Consultants PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL CONSULTANTS PC

Practice address

2546 S Broad St Rear
Philadelphia, PA 19145-4638

Phone

(215) 463-6677

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Rementer

Title

Insurance Coordinator

Phone

(215) 940-9001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1740616895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 S BROAD ST REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 S BROAD ST REAR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454638",
            "telephone_number": "215-463-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "REMENTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "215-940-9001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danijel Josip Pericic, MD
• Anthony Perillo, LPC
• Joanne P. Perilstein, PHD
• Rodolfo F Perini, MD
• Stephen Wayne Perini, D.O.
• Periodontal Services, LTD
• Peripheral Vascular Institute of Philadelphia LLC
• Robert L. Perkel, M.D.
• Gail Davida Perkin, LPC
• Anna Elizabeth Perkins, LCSW

• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.