Individual provider Active NPI

Panagiotis Afouxenidis, DDS

  • Periodontics
  • Dallas, TX
National Provider Identifier
1891459707
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
39760 Issued in TX
Practice address
3600 McKinney Ave Ste 230
Dallas, TX 75204-1476
Phone
(469) 463-8340
NPI assigned
Oct 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 39760 TX Primary

Addresses

Primary practice location

3600 McKinney Ave Ste 230
Dallas, TX 75204-1476

Mailing address

7425 La Vista Dr Apt 2034
Dallas, TX 75214-4472
Phone (469) 463-8340

Other names 1

  • Dr. Panos Afouxenides Professional name

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

State licenses

LicenseStateTypeSpecialty
39760TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1891459707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 LA VISTA DR APT 2034",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144472",
            "telephone_number": "469-463-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MCKINNEY AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041476",
            "telephone_number": "469-463-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOUXENIDIS",
        "first_name": "PANAGIOTIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "39760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANOS",
            "last_name": "AFOUXENIDES",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.