Active NPI
Andrew S Kouvaris, D.D.S., M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cupertino, CA
National Provider Identifier
1093851719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 50295
- Practice address
- 10393 Torre Ave
Suite K
Cupertino, CA 95014-3235 - Phone
- (408) 996-2909
- NPI assigned
- Jan 29, 2007
- Last updated
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 50295 | CA | Primary |
Addresses
Primary practice location
10393 Torre Ave
Suite K
Cupertino, CA 95014-3235
Mailing address
10393 Torre Ave
Suite K
Cupertino, CA 95014-3235
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 |
|---|---|---|---|
| 50295 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cupertino Dental Ortho-Pedo | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba David T Constant,DDS,Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cupertino, CA
- NPI 1467572834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1093851719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10393 TORRE AVE",
"address_2": "SUITE K",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10393 TORRE AVE",
"address_2": "SUITE K",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143235",
"telephone_number": "408-996-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUVARIS",
"first_name": "ANDREW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "50295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.