Konstantinos G Pavlakos, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

042784-1 Issued in NY

Practice address

416 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Phone

(718) 833-8099

Fax

(718) 833-8188

NPI assigned

Mar 29, 2007

Last updated

Feb 12, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kpavlakos133226@nyumc.direct-ci.com

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.

• Optimum Health Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1942541438
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1245359066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-833-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-833-8099",
            "fax_number": "718-833-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAKOS",
        "first_name": "KONSTANTINOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "042784-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavel Kulik Physician P.C.
• Lynda B Pavel, OTR/L
• Milosch Pavic
• Magdalene Pavilus-Okafor, FNP
• Steven G Pavlakis, MD
• Antonina Pavlenko
• Matthew Pavlica
• Valentina Pavlotsky
• Julia Pavlov-Rachov
• Arkady Pavlov, D.D.S.

• Periodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.