Kyriacos Andronikou, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041200 Issued in PA

Practice address

3055 Washington Rd Ste 303
MC Murray, PA 15317-3279

Phone

(724) 942-5630

Fax

(724) 942-5632

NPI assigned

Jun 1, 2017

Reactivated

Feb 13, 2018

Last updated

Jun 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Punxsutawney Dental Inc.

  • General Practice Dentistry
  • Punxsutawney, PA
  • NPI 1154412252
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1053849208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 303",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-942-5630",
            "fax_number": "724-942-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD STE 303",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173279",
            "telephone_number": "724-942-5630",
            "fax_number": "724-942-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 N Main St",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157671218",
            "country_code": "US",
            "telephone_number": "814-938-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRONIKOU",
        "first_name": "KYRIACOS",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2019-06-06",
        "deactivation_date": "2018-01-05",
        "reactivation_date": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alveoli Corporation (Lungs at Work)
• Amber L. Chapman LPC LLC
• Amelia Arianne Pare MD PC
• Maureen Anders, LPC
• Anderson Chiropractic PC
• Rayna Ankrom, SLP
• Ann B McCune, MD
• Anthony N Ricci MD PC
• Emma Argent, RD, LDN
• Alison Armstrong, LCSW

• General Practice Dentistry in McMurray, PA
• Providers in McMurray, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.