Active NPI
Theodoros Katsaros, DDS
- Periodontics
- Iowa City, IA
National Provider Identifier
1366878308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 40166
- Practice address
- 446 Dental Science BLDG S
Iowa City, IA 52242-1001 - Phone
- (319) 335-7233
- NPI assigned
- Sep 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 40166 | IA | Primary |
Addresses
Primary practice location
446 Dental Science BLDG S
Iowa City, IA 52242-1001
Mailing address
322 Dental Science BLDG S
Iowa City, IA 52242-1001
Phone (319) 335-7440
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40166 | IA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1366878308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 DENTAL SCIENCE BLDG S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 DENTAL SCIENCE BLDG S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSAROS",
"first_name": "THEODOROS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-23",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IA",
"license": "40166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.