Individual provider Active NPI

Peter Bill Tsiampas, DDS

  • Dentist
  • Greenfield, WI
National Provider Identifier
1629237573
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5634015 Issued in WI
Practice address
3827 South 108TH Street
Greenfield, WI 53228-1336
Phone
(414) 327-7777
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5634015 WI Primary

Addresses

Primary practice location

3827 South 108TH Street
Greenfield, WI 53228-1336

Mailing address

3827 South 108TH Street
Greenfield, WI 53228-1336
Phone (414) 327-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160201001446 WI Order and Referring Only - DentistPractitioner - Dentist 7719281443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5634015WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1629237573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 SOUTH 108TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281336",
            "telephone_number": "414-327-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 SOUTH 108TH STREET",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281336",
            "telephone_number": "414-327-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIAMPAS",
        "first_name": "PETER",
        "middle_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5634015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.