Active NPI
Perio Inc
- Periodontics
- Warwick, RI
National Provider Identifier
1891811063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110824000426 | RI | DME Supplier - Oral Surgery - Dentist | 3779751524 | Practice locations: Warwick, RI |
National Provider Directory
National Provider DirectoryNPI 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.