Organization Active NPI

DT Periodontics and Cosmetic Dentistry

  • Periodontics
  • Great Neck, NY
National Provider Identifier
1811380314
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DT PERIODONTICS AND COSMETIC DENTISTRY
Practice address
15 Bond St
Suite 210
Great Neck, NY 11021-2016
Phone
(516) 487-8240
Fax
(516) 482-2544
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Demetrios Tsiokos, DDS
Title
Dentist
Phone
(516) 343-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

15 Bond St
Suite 210
Great Neck, NY 11021-2016

Mailing address

15 Bond St
Suite 210
Great Neck, NY 11021-2016
Phone (516) 487-8240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1811380314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BOND ST",
            "address_2": "SUITE 210",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212016",
            "telephone_number": "516-487-8240",
            "fax_number": "516-482-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BOND ST",
            "address_2": "SUITE 210",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212016",
            "telephone_number": "516-487-8240",
            "fax_number": "516-482-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT PERIODONTICS AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "TSIOKOS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-343-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.