Theano G Eliopoulos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16302 Issued in MA

Practice address

800 West Cummings Park
Suite 1050
Woburn, MA 01801

Phone

(781) 932-9320

Fax

(781) 932-0893

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 names 1

• Theano G Geraniotis Other name

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

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.

• Theano G. Geraniotis, DMD, PC

  dba Dr. Nano Geraniotis

  • General Practice Dentistry
  • Woburn, MA
  • NPI 1114163342
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174544936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST CUMMINGS PARK",
            "address_2": "SUITE 1050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-932-9320",
            "fax_number": "781-932-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST CUMMINGS PARK",
            "address_2": "SUITE 1050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-932-9320",
            "fax_number": "781-932-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIOPOULOS",
        "first_name": "THEANO",
        "middle_name": "G",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEANO",
            "last_name": "GERANIOTIS",
            "middle_name": "G",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colin Patrick Edmeade, BEHAVIORAL TECHNICIA
• Megan Edwards, PSYD
• Kimberly Egan, RBT
• Margaret Ehrlinger
• Denis Elbert, DPT
• Elissa Oppenheim (Restore Balance Acupuncture)
• Jennifer L Elliott
• James Ellis, D.C.
• Emmanuel Home Care Service LLC
• Encompass Health Rehabilitation Hospital of New England, LLC (Encompass Health Rehabilitation Hospital of New England)

• General Practice Dentistry in Woburn, MA
• Providers in Woburn, 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.