Active NPI
Venetia Spanos Kyriakos, DMD
- Dentist
- Cos Cob, CT
National Provider Identifier
1851730436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6638
- Practice address
- 453 E Putnam Ave
Cos Cob, CT 06807-2524 - Phone
- (203) 869-2552
- Fax
- (203) 869-5617
- NPI assigned
- Jun 18, 2013
- Last updated
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6638 | CT | Primary |
Addresses
Primary practice location
453 E Putnam Ave
Cos Cob, CT 06807-2524
Mailing address
62 Mason St
Greenwich, CT 06830-5515
Phone (203) 550-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1851730436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MASON ST",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305515",
"telephone_number": "203-550-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 E PUTNAM AVE",
"city": "COS COB",
"state": "CT",
"postal_code": "068072524",
"telephone_number": "203-869-2552",
"fax_number": "203-869-5617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYRIAKOS",
"first_name": "VENETIA",
"middle_name": "SPANOS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "6638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.