Active NPI
Christian Papadopoulos, DDS
- General Practice Dentistry
- Long Beach, CA
National Provider Identifier
1033829502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 108024
- Practice address
- 659 Redondo Ave
Long Beach, CA 90814-1454 - Phone
- (562) 439-0494
- NPI assigned
- Nov 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 108024 | CA | Primary |
Addresses
Primary practice location
659 Redondo Ave
Long Beach, CA 90814-1454
Mailing address
659 Redondo Ave
Long Beach, CA 90814-1454
Phone (562) 439-0494
Other practice location 1
1235 Sepulveda Blvd
Torrance, CA 90502-2626
Phone (310) 530-9656
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108024 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Papadopoulos a Dental Corp. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Torrance, CA
- NPI 1841319936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1033829502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 REDONDO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141454",
"telephone_number": "562-439-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 REDONDO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908141454",
"telephone_number": "562-439-0494"
}
],
"practiceLocations": [
{
"address_1": "1235 Sepulveda Blvd",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022626",
"country_code": "US",
"telephone_number": "310-530-9656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-25",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "108024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.