Individual provider Active NPI

Peter D. Tziros, DMD, MPH

  • Endodontics
  • Manchester, NH
National Provider Identifier
1669481669
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21033 Issued in MA
Practice address
1650 Elm St
Suite 403
Manchester, NH 03101-1217
Phone
(603) 668-3636
Fax
(603) 668-3656
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 21033 MA Primary
Endodontics 1223E0200X 03611 NH

Addresses

Primary practice location

1650 Elm St
Suite 403
Manchester, NH 03101-1217

Mailing address

1650 Elm St
Suite 403
Manchester, NH 03101-1217
Phone (603) 668-3636

Other names 1

  • Dr. Panagiotis D. Tziros Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 31, 2016 through Aug 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21033MAMDEndodontist
03611NHMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1669481669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 403",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-668-3636",
            "fax_number": "603-668-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 403",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-668-3636",
            "fax_number": "603-668-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZIROS",
        "first_name": "PETER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "21033",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "03611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANAGIOTIS",
            "last_name": "TZIROS",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "DMD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.