Louis Jeffrey Konstan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.025796 Issued in OH

Practice address

11 S Cleveland Ave
Mogadore, OH 44260-1514

Phone

(330) 628-3017

NPI assigned

May 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mogadore Family Dentistry

  • Dentist
  • Mogadore, OH
  • NPI 1972624922
  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1093372245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601514",
            "telephone_number": "330-628-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442601514",
            "telephone_number": "330-628-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTAN",
        "first_name": "LOUIS",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Jennings
• Annette Katzenmeyer
• Scott Katzenmeyer
• Thomas N. Kintz
• Barbara Jean Knoll
• Louis William Konstan, D.D.S.
• Joanne Lynn Koosed
• Dawn Marie Krager
• Lisa La Venia Kuzak
• Live to Thrive, LLC

• Dentist in Mogadore, OH
• Providers in Mogadore, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.