Individual provider Active NPI

Antonio S Parameswaran, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Anchorage, AK
National Provider Identifier
1033421045
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D1343 Issued in AK
Practice address
2000 Abbott Rd Ste 200
Anchorage, AK 99507-3878
Phone
(907) 562-9939
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D1343 AK Primary

Addresses

Primary practice location

2000 Abbott Rd Ste 200
Anchorage, AK 99507-3878

Mailing address

2000 Abbott Rd Ste 200
Anchorage, AK 99507-3878
Phone (907) 602-1151

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20121002000756 TX Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 2062661317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1343AKMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince Jan 3, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aparameswaran244139@direct.hfhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1033421045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073878",
            "telephone_number": "907-602-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073878",
            "telephone_number": "907-562-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAMESWARAN",
        "first_name": "ANTONIO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "D1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.