Harry Papadopoulos, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12010966A Issued in IN

Practice address

888 Sim Hodgin Pkwy
Suite C
Richmond, IN 47374-1936

Phone

(765) 966-7537

Fax

(765) 966-0370

NPI assigned

Nov 2, 2005

Last updated

Aug 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hpapadopoulos307840@reidhealth.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.

• Richmond Oral Surgery Associates Acquisition, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
  • NPI 1356637557
  NPD (past) Authorized official
• Richmond Oral Surgery Associates, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
  • NPI 1255411542
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1306837182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010966A",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "01065709A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Paddock
• Ruby Pai, MD
• Ana Palacios-Ochoa
• Willard Palustre, M.D
• Pankaj Kumar, M.D.,LLC
• Mary Amber Parker, DDS
• Shanequa Janae Parker, STUDENT
• James Ross Parliament, M.D.
• Jordan Parrett, MD
• Miranda Dawn Passmore, P.T.

• Oral and Maxillofacial Surgery (Dentist) in Richmond, IN
• Providers in Richmond, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.