Individual provider Active NPI

Venetia Spanos Kyriakos, DMD

  • Dentist
  • Cos Cob, CT
National Provider Identifier
1851730436
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6638 Issued in CT
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.