Individual provider Active NPI

Konstantinos Apostolopoulos

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cleveland, OH
National Provider Identifier
1306472444
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
RES.003885 Issued in OH
Practice address
9601 Chester Ave
Cleveland, OH 44106-1666
Phone
(216) 368-4331
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X RES.003885 OH Primary

Addresses

Primary practice location

9601 Chester Ave
Cleveland, OH 44106-1666

Mailing address

2552 Kenilworth Rd
Cleveland, OH 44106-2442
Phone (216) 507-3477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kxa299@case.edu University Hospitals Case Medical Center/CWRU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RES.003885OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Case Dental Medicine Support Services, LLC. PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306472444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 KENILWORTH RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062442",
            "telephone_number": "216-507-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 CHESTER AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061666",
            "telephone_number": "216-368-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APOSTOLOPOULOS",
        "first_name": "KONSTANTINOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "RES.003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kxa299@case.edu",
            "affiliation": "Y",
            "affiliationName": "University Hospitals Case Medical Center/CWRU",
            "address_1": "9601 Chester Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

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