Active NPI
Dennis William Cakouros, D.O.
- Family Medicine Physician
- Spring House, PA
National Provider Identifier
1659338440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS003302L
- Practice address
- 716 Penllyn Pike
Spring House, PA 19477 - Phone
- (215) 646-1725
- NPI assigned
- Apr 27, 2006
- Last updated
- Nov 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS003302L | PA | |
| Family Medicine Physician | 207Q00000X | OS003302L | PA | Primary |
Addresses
Primary practice location
716 Penllyn Pike
Spring House, PA 19477
Mailing address
PO Box 161
Spring House, PA 19477-0161
Phone (215) 646-1725
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000674787 | Medicaid | PA | |
| 0045119000 | Other | PA | KEYSTONE |
| 60126A | Other | PA | KEYSTONE MERCY |
| 052169 | Other | PA | BS |
| 052169 | Other | PA | BS HIGHMARK |
| 0006747870008 | Other | PA | PROMISE |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003302L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1659338440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 161",
"city": "SPRING HOUSE",
"state": "PA",
"postal_code": "194770161",
"telephone_number": "215-646-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 PENLLYN PIKE",
"city": "SPRING HOUSE",
"state": "PA",
"postal_code": "19477",
"telephone_number": "215-646-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAKOUROS",
"first_name": "DENNIS",
"middle_name": "WILLIAM",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS003302L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS003302L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000674787",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0045119000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "60126A",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "052169",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS HIGHMARK",
"identifier": "052169",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROMISE",
"identifier": "0006747870008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring House, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.