Individual provider Active NPI

Steven Caradimos, DMD

  • Dentist
  • West Yarmouth, MA
National Provider Identifier
1376855262
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855378 Issued in MA
Practice address
30 Higgins Crowell Rd Ste 2
West Yarmouth, MA 02673-3444
Phone
(508) 771-1777
NPI assigned
Jul 8, 2010
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1855378 MA Primary

Addresses

Primary practice location

30 Higgins Crowell Rd Ste 2
West Yarmouth, MA 02673-3444

Mailing address

30 Higgins Crowell Rd Ste 2
West Yarmouth, MA 02673-3444
Phone (508) 771-1777

Other practice location 1

51 Winn St
Burlington, MA 01803-4872
Phone (781) 272-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1855378MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Caradimos DMD PC PastSince Jun 27, 2021 Accepting new patients
Johnn M. Aloia,D.M.D. Dentist Past Accepting new patients
Orla M Baker DMD PC PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1376855262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIGGINS CROWELL RD STE 2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733444",
            "telephone_number": "508-771-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HIGGINS CROWELL RD STE 2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026733444",
            "telephone_number": "508-771-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Winn St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034872",
            "country_code": "US",
            "telephone_number": "781-272-4184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARADIMOS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.