Organization Active NPI

Christos G. Kirusis, DMD., PC.

  • General Practice Dentistry
  • West Boylston, MA
National Provider Identifier
1750522355
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17555 Issued in MA
Legal business name
CHRISTOS G. KIRUSIS, DMD., PC.
Practice address
1 Prescott St
West Boylston, MA 01583-1103
Phone
(508) 835-8890
Fax
(508) 835-8960
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Christos George Kirusis, DMDNPI 1750395687
Title
Owner
Phone
(508) 835-8890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17555 MA Primary

Addresses

Primary practice location

1 Prescott St
West Boylston, MA 01583-1103

Mailing address

1 Prescott St
West Boylston, MA 01583-1103
Phone (508) 835-8890

National Provider Directory

National Provider Directory

Locations

1 Prescott St
West Boylston, MA 01583
Phone (508) 835-8890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1750522355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESCOTT ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831103",
            "telephone_number": "508-835-8890",
            "fax_number": "508-835-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESCOTT ST",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831103",
            "telephone_number": "508-835-8890",
            "fax_number": "508-835-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS G. KIRUSIS, DMD., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "KIRUSIS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-835-8890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Boylston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.