Sotirios Diamantis, MD, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1855325 Issued in MA

Practice address

33 Bartlett St
405
Lowell, MA 01852-1335

Phone

(978) 458-1264

Fax

(978) 458-8994

NPI assigned

Aug 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

Perelman School of Med at the University of Pennsylvania, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Lowell Oral Surgery Associates, IncGroup PAC ID 4688743602, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lowell Oral Surgery Associates, Inc

  • Oral and Maxillofacial Pathology Dentistry
  • Lowell, MA
  • NPI 1689772477
  Medicare reassignment Care Compare group NPD
• Lowell Oral Surgery Associates, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Chelmsford, MA
  • NPI 1609322452
  NPD

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1386837797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "405",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521335",
            "telephone_number": "978-458-1264",
            "fax_number": "978-458-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "405",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521335",
            "telephone_number": "978-458-1264",
            "fax_number": "978-458-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANTIS",
        "first_name": "SOTIRIOS",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "243366",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855325",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "03764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Dewhirst, PSYD
• Anne-Cecile Dewulf, PHD
• Mackenzie Dezieck
• Kabilan Dharmarajan, MD
• Lydia Dhein, OTR/L
• Elaine Osa Diamond-Ford, O.D.
• Ashley Leeanne Diamont, MS
• Larissa Dias, M.ED
• Andres Diaz-Menzies
• Andrea Diaz

• Oral and Maxillofacial Surgery (Dentist) in Lowell, MA
• Providers in Lowell, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.