Individual provider Active NPI

Frank Tasos Varinos, DMD

  • General Practice Dentistry
  • Peabody, MA
National Provider Identifier
1346451994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16578 Issued in MA
Practice address
215 Newbury St
Suite #201
Peabody, MA 01960-2414
Phone
(978) 535-3800
Fax
(978) 535-1718
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16578 MA Primary

Addresses

Primary practice location

215 Newbury St
Suite #201
Peabody, MA 01960-2414

Mailing address

215 Newbury St
Suite #201
Peabody, MA 01960-2414
Phone (978) 535-3800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160316000831 MA Order and Referring Only - DentistPractitioner - Dentist 3173829256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16578MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346451994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NEWBURY ST",
            "address_2": "SUITE #201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602414",
            "telephone_number": "978-535-3800",
            "fax_number": "978-535-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NEWBURY ST",
            "address_2": "SUITE #201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602414",
            "telephone_number": "978-535-3800",
            "fax_number": "978-535-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARINOS",
        "first_name": "FRANK",
        "middle_name": "TASOS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.