Maria Magdalyn Athnasios, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027289 Issued in OH

Practice address

2255 Columbia Rd
Westlake, OH 44145-4102

Phone

(440) 835-0011

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Jennifer Psota Dougherty DDS LLC

  • Dentist
  • Westlake, OH
  • NPI 1407159320
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1538899893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING JR BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082576",
            "telephone_number": "313-494-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 COLUMBIA RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454102",
            "telephone_number": "440-835-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHNASIOS",
        "first_name": "MARIA",
        "middle_name": "MAGDALYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briyanna Ashley
• Lammi Asrat
• Mahmoud Riyad Assad, LPCC
• Richard R Assaf, MD
• Associates in Dermatology, Inc.
• Montazia Atkinson, RBT
• Erica Auriemme, MS RD CSSD LDN
• Auringe LLC
• Aurora Counseling of Ohio, LLC
• Rachel Aversano

• Dentist in Westlake, OH
• Providers in Westlake, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.