Parkside Periodontal and Implant Center LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PARKSIDE PERIODONTAL AND IMPLANT CENTER LLC

Practice address

805 S Maple St
North Platte, NE 69101-5282

Phone

(308) 534-1289

Fax

(308) 534-1530

NPI assigned

Sep 11, 2026

Organization subpart

No

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

Authorized official

Name

Benjamin Lashley, DDS

Title

Owner

Phone

(308) 534-1289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1841100716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-534-1289",
            "fax_number": "308-534-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-534-1289",
            "fax_number": "308-534-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE PERIODONTAL AND IMPLANT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "LASHLEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-534-1289",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Osborn
• Machelle Rae Owens I
• Joanne Marie Paine
• Grishma Parikh, M.D.
• Claudia J. Parker
• Marissa Marie Pascoe, CNA
• Pathology Services, P.C.
• Pathology Services, P.C.
• Pathology Services, P.C.
• Pathology Services, P.C.

• Periodontics in North Platte, NE
• Providers in North Platte, NE by specialty
• Periodontics in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.