Philip Konopa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101733 Issued in CA

Practice address

8998 Apollo Way
Downey, CA 90242-4030

Phone

(562) 441-7212

NPI assigned

Apr 18, 2017

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ariella Pessah Dental Corporation

  • Dentist
  • Downey, CA
  • NPI 1992174379
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346774155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 APOLLO WAY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 APOLLO WAY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902424030",
            "telephone_number": "562-441-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 Larrabee St Apt 9",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900693970",
            "country_code": "US",
            "telephone_number": "206-351-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONOPA",
        "first_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kodimer, PHD
• Garo H Kodjababian, MD
• Satjiv Kohli, M.D.
• Sienna Orange Koizumi
• Christopher Kolleff
• Claire Jee Kook
• Ariel M Koster
• Oksana Lelyukh Kostyukevich, PA-C
• Kourosh K Shamlou MD Inc
• Marjorie Ann Krauss

• General Practice Dentistry in Downey, CA
• Providers in Downey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.