Zannis Angelidakis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48530 Issued in NY

Practice address

3275 Steinway St
Astoria, NY 11103-4046

Phone

(718) 204-0129

Fax

(718) 204-5818

NPI assigned

Dec 5, 2006

Last updated

Oct 22, 2011By 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

Other identifiers 1

Other names 1

• John Angelidakis Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1346308921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 STEINWAY ST STE 206",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034046",
            "telephone_number": "718-204-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034046",
            "telephone_number": "718-204-0129",
            "fax_number": "718-204-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELIDAKIS",
        "first_name": "ZANNIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "48530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02220657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "ANGELIDAKIS",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andre Farah DC PC (Astoria Chiropractic)
• Christina Andreadis, LPN
• Cristina Monica Andreani
• Andrew Cambitsis, M.D., P.C.
• Andrew Cordiale DO PC
• Neetha Reddy Angelino, M.D.
• Victoria Angelo
• Martha C Anibal Sr., PT
• Rose Anim-Nance, RPA
• Kwame Annor-Mensah, OTR/L

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.