Organization Active NPI

Dimitri Papadopoulos DDS

  • Dental Clinic/Center
  • Astoria, NY
National Provider Identifier
1205388733
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
050614 Issued in NY
Legal business name
DIMITRI PAPADOPOULOS DDS
Practice address
3005 31St Ave
Astoria, NY 11106-2404
Phone
(718) 806-1336
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dimitri Papadopoulos, D.D.S, P.C.
Title
Dentist
Phone
(718) 806-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 050614 NY Primary

Addresses

Primary practice location

3005 31St Ave
Astoria, NY 11106-2404

Mailing address

3005 31St Ave
Astoria, NY 11106-2404
Phone (718) 806-1336

Other identifiers 1

IdentifierTypeStateIssuer
02594118MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1205388733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062404",
            "telephone_number": "718-806-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062404",
            "telephone_number": "718-806-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI PAPADOPOULOS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-806-1336",
        "authorized_official_credential": "D.D.S, P.C."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "050614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.