Iris Anastasia Panos, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1855434 Issued in MA

Practice address

646 Swift Rd BLDG 606
West Point, NY 10996-1942

Phone

(845) 938-7769

NPI assigned

Aug 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1760796338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SWIFT RD BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 SWIFT RD BLDG 606",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961942",
            "telephone_number": "845-938-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOS",
        "first_name": "IRIS",
        "middle_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1855434",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855434",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "A058336",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "A058336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Nichols, BCBA
• Kristen Midori Omi
• Scott Martin Ostrander, ATC
• Jody Leann Owens, LCSW, LCAC
• Wade Hampton Owens, DDS
• Mariefel Casino Paqueo, DNP, RN, CNOR
• Cole Patrick, MD
• Nicole Elizabeth Payne, ATC
• Karen Yvonne Peck, ATC
• Maria A Pelella

• Periodontics in West Point, NY
• Providers in West Point, 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 7, 2026; 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.