Organization Active NPI

Vasos Eracleous, DDS

  • Dental Clinic/Center
  • Astoria, NY
National Provider Identifier
1760994347
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50191 Issued in NY
Legal business name
VASOS ERACLEOUS, DDS
Practice address
2917 Astoria Blvd
Astoria, NY 11102-1741
Phone
(718) 728-5759
Fax
(718) 204-8786
NPI assigned
Nov 3, 2017
Organization subpart
Yes
Parent organization
VASOS ERACLEOUS, DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Dr. Vasos EracleousNPI 1508027699
Title
President/ Doctor
Phone
(718) 728-5759

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
Dental Clinic/Center 261QD0000X 50191 NY Primary

Addresses

Primary practice location

2917 Astoria Blvd
Astoria, NY 11102-1741

Mailing address

2917 Astoria Blvd
Astoria, NY 11102-1741
Phone (718) 728-5759

National Provider Directory

National Provider Directory
Part of
Vasos Eracleous DDS

Practitioners & affiliated clinicians

Practitioners 2

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": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1760994347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021741",
            "telephone_number": "718-728-5759",
            "fax_number": "718-204-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021741",
            "telephone_number": "718-728-5759",
            "fax_number": "718-204-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASOS ERACLEOUS, DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VASOS ERACLEOUS, DDS",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "ERACLEOUS",
        "authorized_official_first_name": "VASOS",
        "authorized_official_title_or_position": "PRESIDENT/ DOCTOR",
        "authorized_official_telephone_number": "718-728-5759",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "50191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.