Kontoveros Klobas Medina LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KONTOVEROS KLOBAS MEDINA LLC

Doing business as

2K Dental

Practice address

2736 Medina Rd Ste 114
Medina, OH 44256-9801

Phone

(216) 860-1195

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Kontoveros, DMD

Title

Owner

Phone

(216) 860-1195

Specialties & licenses 2

Addresses

Other names 1

• 2K Dental Doing business as

Locations

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1275302663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 MEDINA RD STE 114",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 MEDINA RD STE 114",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569801",
            "telephone_number": "216-860-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONTOVEROS KLOBAS MEDINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KONTOVEROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-860-1195",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2K Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacia Michele Kogut, CNP
• Catherine R Kolleth, LPCC-S, LMFT
• Stephanie Kolodziej, OTR/L
• Jerry Stanley Kolosionek, DDS
• John Komara III, PHARM.D.
• Jonathan Dean Kopen, PTA
• Keith Kopisch, APRN
• Heather Kopkas, QMHS, CMS
• Candice Gabrielle Kordich
• Samantha Kost, MSW, LISW

• Dental Clinic/Center in Medina, OH
• Providers in Medina, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.