Gus George Nopoulos, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2248 Issued in AZ

Practice address

11230 N Tatum Blvd
Ste 103
Phoenix, AZ 85028

Phone

(602) 404-1414

Fax

(602) 404-1440

NPI assigned

Nov 10, 2006

Last updated

Jul 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roya N Asin DMD, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1790482297
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1184795502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 N TATUM BLVD",
            "address_2": "STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-404-1414",
            "fax_number": "602-404-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 N TATUM BLVD",
            "address_2": "STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-404-1414",
            "fax_number": "602-404-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOPOULOS",
        "first_name": "GUS",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2248",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Noonan
• Bita Nooranbakht, M.D.
• Nazar A Noori, M.D.
• Tarreq Noori
• Nopalli, LLC (Saguaro Dermatology)
• Nora's Survivors
• Adam Scott Norberg, MD
• Kelsey Norby, RDN
• Earl Robert Nordby III, FNP-C
• Jason H Nordean, D.D.S.

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.