Individual provider Active NPI

Maria Konstantinou Tassopoulou-Fishell, D.M.D., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, PA
National Provider Identifier
1679898274
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS038208 Issued in PA
Practice address
620 N Main St
Washington, PA 15301-3968
Phone
(724) 222-1063
Fax
(724) 222-2245
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS038208 PA Primary

Addresses

Primary practice location

620 N Main St
Washington, PA 15301-3968

Mailing address

2867 Washington Rd
MC Murray, PA 15317-3282
Phone (724) 941-9600

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

State licenses

LicenseStateTypeSpecialty
DS038208PAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1679898274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173282",
            "telephone_number": "724-941-9600",
            "fax_number": "724-941-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013968",
            "telephone_number": "724-222-1063",
            "fax_number": "724-222-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSOPOULOU-FISHELL",
        "first_name": "MARIA",
        "middle_name": "KONSTANTINOU",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.