Martha Peppas - Kountotsis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055673 Issued in NY

Practice address

347 Route 25a
Rocky Point, NY 11778-7911

Phone

(516) 662-9888

NPI assigned

Aug 10, 2011

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Female

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

Enrolled in IL

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

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1760761597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117787911",
            "telephone_number": "631-747-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117787911",
            "telephone_number": "516-662-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPAS - KOUNTOTSIS",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven C Padula, LPN
• Tracy Pantino, BCBA
• Megha Patel, PHARM.D
• Christine Hess Pavlicko, OTR/L, CHT
• Emily Pellicci
• Performance Medical and Rehab PC
• Performance Strength Chiropractic & Physical Therapy PLLC
• Pamela J Peterson, CRNA
• Juan Pilarte
• Angela D Pillitteri, OD

• General Practice Dentistry in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.