Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PERIODONTAL ASSOCIATES

Practice address

2900 S Peoria St
Building D
Aurora, CO 80014-3182

Phone

(303) 755-4500

Fax

(303) 755-4047

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Versman, D.D.S.NPI 1427026301

Title

Partner

Phone

(303) 755-4500

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Kenneth J Versman, D.D.S.

  • Periodontics
  • Aurora, CO
  • NPI 1427026301
  NPD (past) Authorized official
• Eric Martin Beckman, DDS MS

  • Periodontics
  • Aurora, CO
  • NPI 1912132333
  NPD (past)
• Paul L Glick, D.D.S., M.S.

  • Periodontics
  • Basalt, CO
  • NPI 1013985910
  NPD (past)
• Douglas A Heller, D.M.D.

  • Periodontics
  • Aurora, CO
  • NPI 1043288947
  NPD (past)
• Robert Salehrabi, D.D.S.

  • Endodontics
  • Aurora, CO
  • NPI 1245309343
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801863303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S PEORIA ST",
            "address_2": "BUILDING D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143182",
            "telephone_number": "303-755-4500",
            "fax_number": "303-755-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S PEORIA ST",
            "address_2": "BUILDING D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143182",
            "telephone_number": "303-755-4500",
            "fax_number": "303-755-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERSMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-755-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Teeth - Buckley & Quincy P.C.
• Perfect Teeth - East Cornell P.C.
• Perfect Teeth - East Iliff P.C.
• Michael Pergola, MD
• Rae Pericharos, FNP
• Bess Perkins, BCBA
• Elena Maria Perkins, MD
• Ifeoma Utseoritselaju Perkins, M.D.
• Jennifer L Perkins, LCSW
• Layne Perkins, LSW

• Periodontics in Aurora, CO
• Providers in Aurora, CO by specialty
• Periodontics in Colorado

• 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.