The Perioclinic LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4832 Issued in LA

Legal business name

THE PERIOCLINIC LLC

Practice address

337 Metairie Rd
Suite 301
Metairie, LA 70005-4338

Phone

(504) 831-0800

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hisham F Nasr, DDSNPI 1104047976

Title

Member

Phone

(504) 831-0800

Specialties & licenses 1

Addresses

Tax ID family

The Perioclinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Perioclinic LLC

  • Periodontics
  • Metairie, LA
  • NPI 1467864256
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hisham F Nasr, D.D.S., M.SC.D.

  • Periodontics
  • Metairie, LA
  • NPI 1104047976
  NPD (past) Authorized official
• Ana Margarita Saenz, D.D.S., M.SC., PHD.

  • Periodontics
  • Metairie, LA
  • NPI 1225242746
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1790026953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 METAIRIE RD",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054338",
            "telephone_number": "504-831-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 METAIRIE RD",
            "address_2": "SUITE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054338",
            "telephone_number": "504-831-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERIOCLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-831-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Refuge 18-2 LLC
• The Retina Institute, L.L.C.
• The Rheumatology Group, LLC
• The Rose Clinic, Apmc

• Dental Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.