George Vasilios Gatzonis, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

042393-1 Issued in NY

Practice address

3316 Ditmars Blvd
Astoria, NY 11105-2153

Phone

(718) 726-3600

Fax

(718) 726-9816

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Ditmars Family Dental LLC

  • General Practice Dentistry
  • Astoria, NY
  • NPI 1740044338
  NPD Authorized official
• George V Gatzonis DDS

  • Dentist
  • Astoria, NY
  • NPI 1841738515
  NPD (past) Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104959642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052153",
            "telephone_number": "718-726-3600",
            "fax_number": "718-726-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 DITMARS BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052153",
            "telephone_number": "718-726-3600",
            "fax_number": "718-726-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZONIS",
        "first_name": "GEORGE",
        "middle_name": "VASILIOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042393-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01196574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Garidis
• Maria B Garoutsos, LMT
• Gary a Gonya MD PLLC
• Daniela Gasan
• Johanna Gaspard, OT
• Emmanuel Gautreau, M.A., ED.M
• Jomina Lelieze Galandeynes Gauuan, R.N.
• Maureen Gavin
• Andrea Gavora, LCSW
• Irene S. Gavras-Petrakis, D.D.S.

• Dentist in Astoria, NY
• Providers in Astoria, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.