Individual provider Active NPI

James M. Kyros, D.M.D.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1124194717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024195L Issued in PA
Practice address
1256 Brookline Blvd
Pittsburgh, PA 15226-2364
Phone
(412) 531-3155
Fax
(421) 561-6663
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024195L PA Primary

Addresses

Primary practice location

1256 Brookline Blvd
Pittsburgh, PA 15226-2364

Mailing address

1256 Brookline Blvd
Pittsburgh, PA 15226-2364
Phone (412) 531-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160127001429 PA Order and Referring Only - DentistPractitioner - Dentist 6901109891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024195LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124194717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 BROOKLINE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152262364",
            "telephone_number": "412-531-3155",
            "fax_number": "412-561-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 BROOKLINE BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152262364",
            "telephone_number": "412-531-3155",
            "fax_number": "421-561-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYROS",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024195L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.