Marielena Diakogiannis, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

043648 Issued in NY

Practice address

16032 20TH Ave
Whitestone, NY 11357-3905

Phone

(718) 423-4500

Fax

(718) 423-5268

NPI assigned

Oct 12, 2006

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

Other names 1

• Mrs. Marielena Hawkins Other name

Medicare fee-for-service enrollment

Enrolled in NY

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whitestone Periodontics and Dental Implants PLLC

  • Periodontics
  • Whitestone, NY
  • NPI 1861815730
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851480578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16032 20TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573905",
            "telephone_number": "718-423-4500",
            "fax_number": "718-423-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16032 20TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573905",
            "telephone_number": "718-423-4500",
            "fax_number": "718-423-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAKOGIANNIS",
        "first_name": "MARIELENA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "043648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELENA",
            "last_name": "HAWKINS",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dental Smiles for Kids, LLC (Dental Smiles for Kids Whitestone)
• Gabrielle J Derose
• Marissa Desouza
• Developmental Achievers LLC
• Diakiwski Mental Health Counseling, PLLC
• Michell Diaz Perea
• Felix Robert Diaz, P.T.
• Yazaira Diaz
• Misty Michelle Dickason, D.C.
• Elizabeth Dickey

• Periodontics in Whitestone, NY
• Providers in Whitestone, 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 8, 2007; 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.