Toni Bassili Georgiades, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35107 Issued in CA

Practice address

4407 Manchester Ave Ste 208
Encinitas, CA 92024-7901

Phone

(760) 753-6124

Fax

(760) 753-7241

NPI assigned

Nov 24, 2008

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1649425281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MANCHESTER AVE STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247901",
            "telephone_number": "760-753-6124",
            "fax_number": "760-753-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MANCHESTER AVE STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247901",
            "telephone_number": "760-753-6124",
            "fax_number": "760-753-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIADES",
        "first_name": "TONI",
        "middle_name": "BASSILI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Gavela
• Robert Ira Gelb, M.D.
• Alexandra Geller
• Madeline Elyse Gelmetti
• Genesis Healthcare Partners PC
• Gerald Gollin MD, Inc.
• Michele Maria Gerber, M.D.
• Oliver Gertzki, L.AC
• Chelsea Geyer
• Reema Ghatnekar, MD

• General Practice Dentistry in Encinitas, CA
• Providers in Encinitas, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.