Organization Active NPI

Robert J. Kakos DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Roswell, GA
National Provider Identifier
1285887497
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DN008427 Issued in GA
Legal business name
ROBERT J. KAKOS DDS PC
Practice address
1150 Grimes Bridge Rd
Ste. 200
Roswell, GA 30075-3988
Phone
(770) 992-4844
Fax
(770) 641-1511
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. Robert J Kakos, D D SNPI 1982624375
Title
Dentist
Phone
(770) 992-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X DN008427 GA Primary

Addresses

Primary practice location

1150 Grimes Bridge Rd
Ste. 200
Roswell, GA 30075-3988

Mailing address

1150 Grimes Bridge Rd
Ste. 200
Roswell, GA 30075-3988
Phone (770) 992-4844

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1285887497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GRIMES BRIDGE RD",
            "address_2": "STE. 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753988",
            "telephone_number": "770-992-4844",
            "fax_number": "770-641-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GRIMES BRIDGE RD",
            "address_2": "STE. 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753988",
            "telephone_number": "770-992-4844",
            "fax_number": "770-641-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. KAKOS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "KAKOS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-992-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D D S"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN008427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.