Organization Active NPI

Perio Inc

  • Periodontics
  • Warwick, RI
National Provider Identifier
1891811063
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIO INC
Practice address
67 Jefferson Boulvard
Warwick, RI 02888-1053
Phone
(401) 781-2742
Fax
(401) 781-2740
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Brenda R Pierce, D.D.S.
Title
Owner
Phone
(401) 781-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

67 Jefferson Boulvard
Warwick, RI 02888-1053

Mailing address

67 Jefferson Boulvard
Warwick, RI 02888-1053
Phone (401) 781-2742

Other names 1

  • Dr. Ross, Nager and Pierce Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000426 RI DME Supplier - Oral Surgery - Dentist 3779751524 Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1891811063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BOULVARD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-2742",
            "fax_number": "401-781-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BOULVARD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-2742",
            "fax_number": "401-781-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-781-2742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Ross, Nager and Pierce",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.