Dean Eleftherakis, L.AC. DIPL. OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AK001325 Issued in PA

Practice address

503 Sunset Dr.
Dickson City, PA 18447

Phone

(570) 507-7100

NPI assigned

Jul 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Konstantine Eleftherakis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Athos Wellness LLC

  • Health Service Clinic/Center
  • Jefferson Township, PA
  • NPI 1265059497
  NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1629695853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CHARLES RD",
            "city": "JEFFERSON TOWNSHIP",
            "state": "PA",
            "postal_code": "184363415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SUNSET DR.",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-507-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEFTHERAKIS",
        "first_name": "DEAN",
        "credential": "L.AC. DIPL. OM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KONSTANTINE",
            "last_name": "ELEFTHERAKIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krystina Alexis Downs
• Rudolph Michael Drasler, GRADUATE INTERN
• Bridget Drust, SLP
• Mary T Dunleavy, PA-C
• Kelsey Leigh Edstrom, MA
• Yosr Hasib Elsobky, LAPC, PSYD CANDIDATE
• Enhanced Hearing Specialists, LLC
• Melissa Evans, PA-C
• Express Urgent Care, LLC
• Jennifer Fischer, MS OTR/L CHT

• Acupuncturist in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.