Individual provider Active NPI

Dean R Scoumis, D.M.D.

  • General Practice Dentistry
  • Gibsonia, PA
National Provider Identifier
1609969021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027245-L Issued in PA
Practice address
2884 E Hardies Rd
Suite 102
Gibsonia, PA 15044-8444
Phone
(724) 444-1366
NPI assigned
Sep 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS027245-L PA Primary

Addresses

Primary practice location

2884 E Hardies Rd
Suite 102
Gibsonia, PA 15044-8444

Mailing address

2884 E Hardies Rd
Suite 102
Gibsonia, PA 15044-8444
Phone (724) 444-1366

Other names 1

  • Dr. Constantine R Scoumis Professional name

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
DS027245-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609969021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 E HARDIES RD",
            "address_2": "SUITE 102",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448444",
            "telephone_number": "724-444-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 E HARDIES RD",
            "address_2": "SUITE 102",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448444",
            "telephone_number": "724-444-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOUMIS",
        "first_name": "DEAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027245-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANTINE",
            "last_name": "SCOUMIS",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gibsonia, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.