NPIMap

Organization Active NPI

Periodontal Health Specialists, LLC

  • Dental Clinic/Center
  • Metairie, LA
National Provider Identifier
1992960637
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3763 Issued in LA
Legal business name
PERIODONTAL HEALTH SPECIALISTS, LLC
Practice address
2540 Severn Ave
Suite 402
Metairie, LA 70002-5954
Phone
(504) 887-8205
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Aymee Costales-Spindler, D.D.S.NPI 1528159191
Title
Owner
Phone
(504) 887-8205

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3763 LA Primary

Addresses

Primary practice location

2540 Severn Ave
Suite 402
Metairie, LA 70002-5954

Mailing address

2540 Severn Ave
Suite 402
Metairie, LA 70002-5954
Phone (504) 887-8205

National Provider Directory

National Provider Directory

Locations

2540 Severn Ave
Ste 402
Metairie, LA 70002
Phone (504) 887-8205

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": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1992960637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 SEVERN AVE",
            "address_2": "SUITE 402",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025954",
            "telephone_number": "504-887-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 SEVERN AVE",
            "address_2": "SUITE 402",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025954",
            "telephone_number": "504-887-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL HEALTH SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "COSTALES-SPINDLER",
        "authorized_official_first_name": "AYMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-887-8205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.