Peter a Costalos DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PETER A COSTALOS DMD PC

Practice address

462 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Phone

(718) 238-9888

Fax

(718) 745-4625

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Costalos, DMDNPI 1710049408

Title

President

Phone

(718) 238-9888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter A. Costalos, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1710049408
  NPD (past) Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1225475494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-238-9888",
            "fax_number": "718-745-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-238-9888",
            "fax_number": "718-745-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A COSTALOS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "COSTALOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Pessoa, RN
• Joyce Lorraine Pessoa
• Lauren E Pessutti, RN
• Dina Pester
• Pet-CT Radiology PLLC
• Peter a. D'Arienzo, M.D.
• Peter Apeakorang Physician PLLC
• Peter B Milburn MD PC
• Peter Badmajew MD PC
• Peter Rouvelas, M.D., P.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.