Individual provider Active NPI

Eftihia Thomopoulos, DDS

  • General Practice Dentistry
  • Rego Park, NY
National Provider Identifier
1356353296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043382 Issued in NY
Practice address
9801 67TH Ave
Suite 1G
Rego Park, NY 11374-4967
Phone
(718) 896-5122
NPI assigned
Aug 12, 2006
Sex
Female
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 043382 NY Primary

Addresses

Primary practice location

9801 67TH Ave
Suite 1G
Rego Park, NY 11374-4967

Mailing address

9801 67TH Ave
Suite 1G
Rego Park, NY 11374-4967
Phone (718) 896-5122

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150916001688 NY Order and Referring Only - DentistPractitioner - Dentist 0547577066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356353296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE",
            "address_2": "SUITE 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744967",
            "telephone_number": "718-896-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 67TH AVE",
            "address_2": "SUITE 1G",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744967",
            "telephone_number": "718-896-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMOPOULOS",
        "first_name": "EFTIHIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.