Diana A Kyrkos, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18677 Issued in OH

Practice address

660 Dover Center Rd Ste 122
Bay Village, OH 44140

Phone

(440) 892-5556

Fax

(440) 899-0408

NPI assigned

Aug 23, 2006

Sex

Female

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

• Dr. Diana A Dimassa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659488096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 DOVER CENTER RD STE 122",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "44140",
            "telephone_number": "440-892-5556",
            "fax_number": "440-899-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 DOVER CENTER RD STE 122",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "44140",
            "telephone_number": "440-892-5556",
            "fax_number": "440-899-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRKOS",
        "first_name": "DIANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "18677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "DIMASSA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kenna R Mycek
• Huma Khatri, PHARMD
• Helen Kosko, RN
• Taylor Kovacich, RBT
• Alyssa Kraus
• Katherin Leitch
• Abigail Joy Licht
• Emilee Lindahl
• Caitlyn Elizabeth Lorenzo, DDS
• James L Mack, PH.D.

• Pediatric Dentistry in Bay Village, OH
• Providers in Bay Village, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.