Active NPI
Dina A Eliopoulos, M.D.
- Plastic Surgery Physician
- Chelmsford, MA
National Provider Identifier
1033198247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 203898
- Practice address
- 9 North Rd
Suite 202
Chelmsford, MA 01824-2755 - Phone
- (978) 275-9440
- Fax
- (978) 275-9470
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 203898 | MA | Primary |
Addresses
Primary practice location
9 North Rd
Suite 202
Chelmsford, MA 01824-2755
Mailing address
9 North Rd
Suite 202
Chelmsford, MA 01824-2755
Phone (978) 275-9440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123331 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203898 | MA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1033198247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 NORTH RD",
"address_2": "SUITE 202",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242755",
"telephone_number": "978-275-9440",
"fax_number": "978-275-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 NORTH RD",
"address_2": "SUITE 202",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018242755",
"telephone_number": "978-275-9440",
"fax_number": "978-275-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIOPOULOS",
"first_name": "DINA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "203898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123331",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.