OrganizationActive
Perico Back Bay, LLC
NPI 1699105734 · Periodontics · Boston, MA
Perico Back Bay, LLC is a Periodontics organization in Boston, MA (NPI 1699105734).
Provider details
- NPI number
- 1699105734
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Gary Reiser, Managing Doctor(617) 456-9714
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Commonwealth Ave. 3rd Flr.
Boston, MA 02215
Phone: (617) 456-9714
Fax: (617) 266-9530
Street-level locationGet directions
Mailing address
400 Commonwealth Ave. 3rd Flr.
Boston, MA 02215
Registry dates
- Enumerated
- 2013-11-26
- Last updated
- 2013-11-26
Frequently asked questions
- What is Perico Back Bay, LLC's NPI number?
- Perico Back Bay, LLC's National Provider Identifier (NPI) is 1699105734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Perico Back Bay, LLC?
- Perico Back Bay, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Perico Back Bay, LLC located?
- Perico Back Bay, LLC's practice location on file with NPPES is 400 Commonwealth Ave. 3rd Flr., Boston, MA 02215.
- What is Perico Back Bay, LLC's phone number?
- The practice phone number listed in the NPPES registry for Perico Back Bay, LLC is (617) 456-9714.
- Who is the authorized official for Perico Back Bay, LLC?
- The authorized official listed on Perico Back Bay, LLC's NPPES record is Gary Reiser, Managing Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Perico Back Bay, LLC's NPI active?
- Yes — Perico Back Bay, LLC's NPI (1699105734) is active in the NPPES registry as of the last update on 2013-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.