Antoine Panossian, DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

201201857 Issued in NC

Practice address

1247 S Cedar Crest Blvd
Suite# 300
Allentown, PA 18103-6298

Phone

(484) 550-6618

Fax

(610) 432-0233

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Artisan Smiles, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Clifton Heights, PA
  • NPI 1639525181
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1740349448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ROCKBOURNE RD",
            "address_2": "STE 400",
            "city": "CLIFTON HEIGHTS",
            "state": "PA",
            "postal_code": "190181739",
            "telephone_number": "484-461-0128",
            "fax_number": "484-461-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD",
            "address_2": "SUITE# 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036298",
            "telephone_number": "484-550-6618",
            "fax_number": "610-432-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSSIAN",
        "first_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036277",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "201201857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101236155",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sirisha Paluri
• Paul Palyca, MD
• Subhashini Pamulapati, D.D.S
• Pamela Panahon
• Maria Luisa Panayotova, MD
• James A Pantano, M.D.
• Mihaela Pantiru, MD
• Colleen Papenhausen, CRNP
• John S Papola, M.D.
• Michael A. Papp, CRNA

• Oral & Maxillofacial Surgery (D.M.D.) in Allentown, PA
• Providers in Allentown, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.