Individual provider Active NPI

Peter Nicholas Stamatis, D.D.S.

  • Dentist
  • Amherst, OH
National Provider Identifier
1346672631
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19271 Issued in OH
Practice address
355 Mill Ave
Amherst, OH 44001-2259
Phone
(440) 988-4464
Fax
(440) 988-4946
NPI assigned
Aug 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19271 OH Primary

Addresses

Primary practice location

355 Mill Ave
Amherst, OH 44001-2259

Mailing address

355 Mill Ave
Amherst, OH 44001-2259
Phone (440) 988-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150615001525 OH Order and Referring Only - DentistPractitioner - Dentist 9032420245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19271OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter N Stamatis DDS Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1346672631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MILL AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012259",
            "telephone_number": "440-988-4464",
            "fax_number": "440-988-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MILL AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012259",
            "telephone_number": "440-988-4464",
            "fax_number": "440-988-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMATIS",
        "first_name": "PETER",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.