Paraskevas Ilias Psomiadis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026742-L Issued in PA

Practice address

35 N 2ND St
Souderton, PA 18964-1106

Phone

(215) 723-8202

Fax

(215) 723-9663

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Illias Psomiadis Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

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.

• Family Dental Care / Peter I. Psomiadis, DMD

  • Dental Clinic/Center
  • Souderton, PA
  • NPI 1033882089
  NPD (past)
• Psomiadis Dental, PC

  • Dental Clinic/Center
  • Souderton, PA
  • NPI 1619837077
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417026345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N 2ND ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641106",
            "telephone_number": "215-723-8202",
            "fax_number": "215-723-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N 2ND ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641106",
            "telephone_number": "215-723-8202",
            "fax_number": "215-723-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSOMIADIS",
        "first_name": "PARASKEVAS",
        "middle_name": "ILIAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026742-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "PSOMIADIS",
            "middle_name": "ILLIAS",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Danielle Picciotti, MSW, LCSW, C-DBT
• Jennifer Pitzen, LCSW
• Stacy Catherine Plumbo, OTR/L
• Nicholas K Pohland, PT, DPT
• Psomiadis Dental, PC
• Peter Paraskevas Ramon Psomiadis, DMD
• Nicole Marie Publick, LSW
• Devon Punchello, LCSW
• Melissa Quay
• R Todd Weaver, DMD & John L Reckner ,DMD

• General Practice Dentistry in Souderton, PA
• Providers in Souderton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.