Individual provider Active NPI

Eleftherios Spilios Gavriil, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Astoria, NY
National Provider Identifier
1992834212
Registry record updated Jul 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
053186 Issued in NY
Practice address
2306 24TH Ave
Astoria, NY 11102-2834
Phone
(917) 612-7908
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 053186 NY Primary

Addresses

Primary practice location

2306 24TH Ave
Astoria, NY 11102-2834

Mailing address

2306 24TH Ave
Astoria, NY 11102-2834
Phone (917) 612-7908

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241113000416 NY Order and Referring Only - DentistPractitioner - Dentist 6800320938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: egavriil4740091@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309651200000",
    "number": "1992834212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 24TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022834",
            "telephone_number": "917-612-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 24TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022834",
            "telephone_number": "917-612-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRIIL",
        "first_name": "ELEFTHERIOS",
        "middle_name": "SPILIOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2011-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.