Individual provider Active NPI

Pericles John Stamatiades, D.D.S.

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1629000294
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7491 Issued in NC
Practice address
10A Yorkshire St Ste 110
Asheville, NC 28803-2718
Phone
(828) 274-1616
Fax
(828) 274-4331
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 7491 NC Primary

Addresses

Primary practice location

10A Yorkshire St Ste 110
Asheville, NC 28803-2718

Mailing address

10A Yorkshire St Ste 110
Asheville, NC 28803-2718
Phone (828) 274-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20151207003091 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779883103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7491NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perry J. Stamatiades, DDS, PA General Practice CurrentSince Aug 14, 2022 Accepting new patients

Locations

10A Yorkshire St
Ste 110
Asheville, NC 28803
Phone (828) 274-1616

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1629000294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10A YORKSHIRE ST STE 110",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032718",
            "telephone_number": "828-274-1616",
            "fax_number": "828-274-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A YORKSHIRE ST STE 110",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032718",
            "telephone_number": "828-274-1616",
            "fax_number": "828-274-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMATIADES",
        "first_name": "PERICLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.