Peter K. Caviris, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043772 Issued in NY

Practice address

3812 30TH Ave
Astoria, NY 11103-3336

Phone

(718) 274-2149

Fax

(718) 274-2149

NPI assigned

Feb 14, 2007

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter K. Caviris DMD, PLLC

  • General Practice Dentistry
  • Astoria, NY
  • NPI 1164874525
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1003959594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033336",
            "telephone_number": "718-274-2149",
            "fax_number": "718-274-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033336",
            "telephone_number": "718-274-2149",
            "fax_number": "718-274-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIRIS",
        "first_name": "PETER",
        "middle_name": "K.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Daniel Castro, DDS
• Katherina Castro
• Kristina Paula Castro, FNP
• Nelson Castro, DC
• Dianne Edwina Cavanaugh, NP
• Jessica Marie Celenza-Salvatore, DO
• Glazen Kaitlyn Celerio, RN
• Naida Dzanic Cemalovic, MD
• Carol-Ann Cenac, NP
• Kelly Centuori, LMFT

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.