NPIMap

Organization Active NPI

Periodontal Center of Excellence PLLC

  • Periodontics
  • Spring, TX
National Provider Identifier
1942928502
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTAL CENTER OF EXCELLENCE PLLC
Practice address
3 Grogans Park Dr Ste 103
Spring, TX 77380-2937
Phone
(281) 292-1833
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Ali Saam Sajadi, DDS MSDNPI 1598010225
Title
Managing Partner
Phone
(832) 452-8625

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3 Grogans Park Dr Ste 103
Spring, TX 77380-2937

Mailing address

3 Grogans Park Dr Ste 103
Spring, TX 77380-2937
Phone (281) 292-1833

Other practice location 1

2040 N Loop 336 W Ste 230
Conroe, TX 77304-3579
Phone (281) 292-1833

Other identifiers 1

IdentifierTypeStateIssuer
28219OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.PERIOCENTER.COM

National Provider Directory

National Provider Directory

Locations

2040 N Loop 336 W
Ste 230
Conroe, TX 77304
Phone (281) 292-1833

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1942928502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DR STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802937",
            "telephone_number": "281-292-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GROGANS PARK DR STE 103",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802937",
            "telephone_number": "281-292-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 N Loop 336 W Ste 230",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043579",
            "country_code": "US",
            "telephone_number": "281-292-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERIODONTAL CENTER OF EXCELLENCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "SAJADI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "SAAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "832-452-8625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "28219",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.PERIOCENTER.COM",
            "affiliation": "N",
            "address_1": "3 Grogans Park Dr Ste 103",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773802937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.