George K Koutsoukos, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

44201 Issued in CA

Practice address

16055 Ventura Blvd
Suite # 1126
Encino, CA 91436-2601

Phone

(818) 501-0427

NPI assigned

Jan 15, 2007

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

Credentials

Master of Science

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.

• Amir H. Jamsheed, Professional Dental Corp.

  • General Practice Dentistry
  • Encino, CA
  • NPI 1255735163
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1376694604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E CALIFORNIA BLVD",
            "address_2": "APT. #7",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063834",
            "telephone_number": "213-949-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD",
            "address_2": "SUITE # 1126",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362601",
            "telephone_number": "818-501-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOUKOS",
        "first_name": "GEORGE",
        "middle_name": "K",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44201",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "44201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Barbara Koretz, B.C.D., L.C.S.W.
• Lara Kose, MD
• Ronald Ira Koslowski, DDS
• Abdolreza Kossarian, PHARM.D
• Nicole Koulisis, MD
• Rachel Kowalski, MS-CCC SLP
• Arthur P. Kowell, M.D.
• Elena Krail
• Mark H Kramar, M.D.
• Beverly Kramer, AMFT, APCC

• Dentist in Encino, CA
• Providers in Encino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.