Chrysanthos C Constantinou, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

30.022869 Issued in OH

Practice address

25575 Center Ridge Rd
Westlake, OH 44145-4049

Phone

(440) 835-8999

NPI assigned

Aug 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Avon Dental LLC

  • Dental Clinic/Center
  • Avon, OH
  • NPI 1083355887
  NPD Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1235385253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25575 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454049",
            "telephone_number": "440-835-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25575 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454049",
            "telephone_number": "440-835-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINOU",
        "first_name": "CHRYSANTHOS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "30.022869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connection With Intention, LLC
• Katie Elizabeth Connell, PH.D.
• Suzanne D Connolly, MD
• Karen L Connor, PT
• Deanna Marie Conroy, RPH
• Caitlin Conwell, MA, SLP
• Aubrey Marie Cook, DO
• Bobbi Jo Cook
• Jean M Cook
• Kimberly T Cook, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.