NPIMap

Organization Active NPI

Metro East Periodontics, PLLC

Doing business as Metro East Dental Implants & Periodontics

  • Dental Clinic/Center
  • East Alton, IL
National Provider Identifier
1801509666
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
METRO EAST PERIODONTICS, PLLC
Doing business as
Metro East Dental Implants & Periodontics
Practice address
160 S Bellwood Dr Ste C
East Alton, IL 62024-2086
Phone
(618) 258-1244
NPI assigned
Dec 26, 2022
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Khaled Shabany, DMD, MSNPI 1578638375
Title
Periodontist
Phone
(618) 258-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

160 S Bellwood Dr Ste C
East Alton, IL 62024-2086

Mailing address

160 S Bellwood Dr Ste C
East Alton, IL 62024-2086
Phone (618) 258-1244

Other names 1

  • Metro East Dental Implants & Periodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@meperio.com Direct

National Provider Directory

National Provider Directory

Locations

160 S Bellwood Dr
Ste C
East Alton, IL 62024
Phone (618) 258-1244

Practitioners & affiliated clinicians

Practitioners 2

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": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1801509666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S BELLWOOD DR STE C",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242086",
            "telephone_number": "618-258-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S BELLWOOD DR STE C",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242086",
            "telephone_number": "618-258-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "SHABANY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "618-258-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@meperio.com",
            "affiliation": "N",
            "endpointDescription": "Email (not personal)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Not sure",
            "address_1": "160 S Bellwood Dr Ste C",
            "city": "East Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620242086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Metro East Dental Implants & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metro East Dental Implants & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.