DR. BASILIOS C COSTARAS DDS NPI 1053644880

NPI Information

  • NPI: 1053644880
  • Provider Name: DR. BASILIOS C COSTARAS, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 874 BEACH RD
    LAKEWOOD, OH
    ZIP 44107
  • Phone: (216) 469-3356

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NPI Details

DR. Basilios C Costaras, DDS is a general practice dentist in Lakewood, OH with 38 years of experience. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Basilios C Costaras, DDS NPI is 1053644880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduation Year:1987

The provider's business location address is:

874 BEACH RD
LAKEWOOD, OH
ZIP 44107-018
Phone: (216) 469-3356

The NPI 1053644880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Injection of anesthetic agent and/or steroid into upper neck and back of head nerve (HCPCS:64405)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of body plane (HCPCS:76100)
  • Application and removal of dental fixation device (HCPCS:21110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of face bones, 1-2 views (HCPCS:70140)
  • X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
  • X-ray of skull, 1-3 views (HCPCS:70250)
  • X-ray of jaw joints on both sides of mouth (HCPCS:70330)
  • X-ray of lower jaws, upper jaws and teeth (HCPCS:70355)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 9/11/2009 and was last updated on 3/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD008677ARIZONANo
21223G0001XDentistGeneral Practice019.027553ILLINOISNo
31223G0001XDentistGeneral Practice18574OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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