Individual provider Active NPI

Dina A Eliopoulos, M.D.

  • Plastic Surgery Physician
  • Chelmsford, MA
National Provider Identifier
1033198247
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
203898 Issued in MA
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

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0123331MedicaidMA

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

LicenseStateTypeSpecialty
203898MAMDPlastic 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.

Verify at the official NPI Registry.