Pauline Demetrakopulos, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

33078 Issued in CA

Practice address

1510 Railroad Ave
Saint Helena, CA 94574-1106

Phone

(707) 963-2321

NPI assigned

Jun 19, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Studio of Aesthetic Dentistry

  • General Practice Dentistry
  • Saint Helena, CA
  • NPI 1669862926
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336344332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 RAILROAD AVE",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741106",
            "telephone_number": "707-963-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RAILROAD AVE",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741106",
            "telephone_number": "707-963-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRAKOPULOS",
        "first_name": "PAULINE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crutcher's Serenity House, Inc.
• Darleen H Hemerlin DDS Inc
• Janessa Daugherty
• DDX Medical Corporation
• Fidel Delgadillo, DDS
• Olivia Dempster
• Jennifer L Dietrich, MD
• Monica S Divakaruni, MD
• Amanda Doherty, MD
• Holly Anne Dowling, MFT

• Dentist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.