Athena S Papas, DMD PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12641 Issued in MA

Practice address

1 Kneeland St
Room 506
Boston, MA 02111

Phone

(617) 636-3932

Fax

(617) 636-4083

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Trustees of Tufts College

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1356559371
  Medicare reassignment NPD
• Tufts University

  • Public Health Dentistry
  • Boston, MA
  • NPI 1861605123
  NPD (past) Authorized official
• Trustees of Tufts College

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1790955318

  General Practice

  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164431573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BYRON ROAD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "02493",
            "telephone_number": "781-235-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNEELAND ST",
            "address_2": "ROOM 506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-3932",
            "fax_number": "617-636-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAS",
        "first_name": "ATHENA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS SECURE HORIZONS",
            "identifier": "703834",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254398",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC FIRST SENIORITY",
            "identifier": "38878",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X04343",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Papakostas, LICSW
• Alexandra Papale, DPT
• George Papaliodis, M.D.
• Emilia Papanicolaou
• Ranganath Papanna, MD
• Panagiotis Papaspyridakos, DDS, MS
• Christina A Papastefan, AGACNP-BC
• Aikaterini Papathanasiou, DDS
• Aimilia Eirini Papathanasiou
• Evangelos Papathanasiou, DDS

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.