Demetrakopulos DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEMETRAKOPULOS DDS PC

Doing business as

Calistoga Dental Group

Practice address

2436 Foothill Blvd Ste a
Calistoga, CA 94515-1209

Phone

(707) 942-5177

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Calistoga Dental Group Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arika Lanee Martinoni, DMD

  • General Practice Dentistry
  • Calistoga, CA
  • NPI 1588235535
  NPD
• Gina Hitchcock, DMD

  • Dentist
  • Calistoga, CA
  • NPI 1053334540
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1083204226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 FOOTHILL BLVD STE A",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151209",
            "telephone_number": "707-942-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 FOOTHILL BLVD STE A",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151209",
            "telephone_number": "707-942-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRAKOPULOS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calistoga Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calistoga Junior Senior High School
• Michele Jane Craig-Morales, PPS
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• Jeffrey Davila, MA
• Jennifer De la Rosa Garcia, RN
• Duffy's Myrtledale, Inc.
• Duffy's Napa Valley Rehab, LLC (Duffy's Rehab)
• Duffy's Napa Valley Rehab, LLC (Duffy's Rehab)
• Expansion Counseling Center
• Ilona Eva Falvy, P.T

• General Practice Dentistry in Calistoga, CA
• Providers in Calistoga, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.