Dimitri Chironis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002097 Issued in WI

Practice address

5808 Broad St
Greendale, WI 53129-2404

Phone

(414) 251-1531

NPI assigned

Apr 30, 2019

Last updated

Mar 12, 2022By 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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD (past)

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1154985661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 BROAD ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292404",
            "telephone_number": "414-251-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 BROAD ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292404",
            "telephone_number": "414-251-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRONIS",
        "first_name": "DIMITRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careshare Assisted Living
• Virginia Anne Carlson
• Carriage Homes Inc
• Tyler Cecil, OTR
• James Joseph Champa, DDS
• Chiropractic Care Center-Waukesha,LLC
• Clifden Court Operations LLC
• Odelis Colon Colon
• Carrie E Daubner, PHARMD
• Taylor John Davies, DPT

• General Practice Dentistry in Greendale, WI
• Providers in Greendale, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.