Individual provider Active NPI

Christian Papadopoulos, DDS

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1033829502
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108024 Issued in CA
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
108024CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.