Stephen Nicholas Bakios, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

80301 Issued in RI

Practice address

2224 Pawtucket Ave
East Providence, RI 02914-1716

Phone

(401) 435-4240

Fax

(401) 435-4245

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• East Bay Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • East Providence, RI
  • NPI 1285692731
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1902011174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAMBIE CIR",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028713927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141716",
            "telephone_number": "401-435-4240",
            "fax_number": "401-435-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKIOS",
        "first_name": "STEPHEN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "80301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1285692731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "80301",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avenir Ventures LLC
• Ashley Ayotte, PHARMD
• Herman Ayvazyan, MD
• Nupur Bahl, MD
• Shanna Bahry
• Balance Holistic Center
• Cynthia G Banahan, BSED
• Priya Bansal, M.D.
• Rajnish Bansal, MD
• Virajkuvarba Zala Baptiste, PT

• Oral and Maxillofacial Surgery (Dentist) in East Providence, RI
• Providers in East Providence, RI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.