Ditmars Dental Concepts

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045709 Issued in NY

Legal business name

DITMARS DENTAL CONCEPTS

Practice address

31-14 Ditmars Blvd
Astoria, NY 11105

Phone

(718) 728-1828

Fax

(718) 728-1828

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Maria Vartholomeos Symeonides, DDS

Title

Partner Owner

Phone

(718) 728-1828

Specialties & licenses 1

Addresses

Tax ID family

Ditmars Dental Concepts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ditmars Dental Consepts

  • Dental Clinic/Center
  • Astoria, NY
  • NPI 1316049505
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul P Symeonides, DDS

  • Dentist
  • Astoria, NY
  • NPI 1023091576
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093884330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-14 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-728-1828",
            "fax_number": "718-728-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-14 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-728-1828",
            "fax_number": "718-728-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITMARS DENTAL CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARTHOLOMEOS SYMEONIDES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "718-728-1828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimirtios Kostopoulos PTPC
• Dimitri Papadopoulos DDS
• Direct Medical Solutions PC
• Daniel Dirico
• Jessica Victoria Dirico
• Ditmars Dental Consepts
• Ditmars Family Dental LLC
• Ditmars Oc RX Inc
• Ditmars Pharmacy
• Dionne Allison Dixon

• 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 Aug 22, 2020; 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.