Dimitris Zourdos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21160 Issued in MA

Practice address

10 Post Office Square
Suite 655
Boston, MA 02109

Phone

(617) 423-6777

Fax

(617) 338-6556

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Idg Boston PO Square Dental PC

  • General Practice Dentistry
  • Boston, MA
  • NPI 1346013414
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1356481857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POST OFFICE SQUARE",
            "address_2": "SUITE 655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-423-6777",
            "fax_number": "617-338-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POST OFFICE SQUARE",
            "address_2": "SUITE 655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-423-6777",
            "fax_number": "617-338-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOURDOS",
        "first_name": "DIMITRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3454",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenhang Zou, MD
• Megan Zou
• Roger Zou, MD, PHD
• Xida Zou, PHMD
• Sofia Maria Zoullas
• John F Zrebiec Jr., MSW
• Brittany Katherine Zuback, DC
• Leyre Zubiri Oteiza, MD, PHD
• Carrie Zublatt
• Liana Zucco

• General Practice Dentistry in Boston, MA
• Providers in Boston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.