Panos N Papapanou, DDS, PHD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

049714 Issued in NY

Practice address

630 W 168TH St
PH 7 E 110
New York, NY 10032-3725

Phone

(212) 305-9312

Fax

(212) 305-9313

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669595104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LEWIS RD",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332005",
            "telephone_number": "212-305-9312",
            "fax_number": "212-305-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "PH 7 E 110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-9312",
            "fax_number": "212-305-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAPANOU",
        "first_name": "PANOS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "049714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dimitri Papanastassiou, M.D.
• Sondra S Papanek, IIN
• Genovefa A Papanicolaou, MD
• Angelos Papanikolaou, MBBS
• Michael John Papanikolas
• Francesca Paparone
• Cristian Constantin Papazoglu Statescu, M.D., PH.D.
• Dominique Pape, MD
• Joy Pape, FNP
• Lawrence Gerard Pape, M.D.

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• 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.