Active NPI
Michael Papadopoulos, DDS
- Dentist
- Long Beach, CA
National Provider Identifier
1073655478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38164
- Practice address
- 659 Redondo Ave
Long Beach, CA 90814-1454 - Phone
- (562) 439-0494
- Fax
- (562) 439-1454
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 38164 | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9165801 | Other | CA | MEDICAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073655478",
"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",
"fax_number": "562-439-9674"
},
{
"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",
"fax_number": "562-439-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "G9165801",
"state": "CA"
}
],
"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 Jul 8, 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.