Individual provider Active NPI

Aristotelis Marinis, DMD,DDS, MS, FACP

  • Prosthodontics
  • Avon, CT
National Provider Identifier
1386928554
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
136.000171 Issued in IL
Practice address
30 Berkshire Xing
Avon, CT 06001-6100
Phone
(773) 787-7501
NPI assigned
Oct 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 136.000171 IL Primary

Addresses

Primary practice location

30 Berkshire Xing
Avon, CT 06001-6100

Mailing address

30 Berkshire Xing
Avon, CT 06001-6100
Phone (773) 787-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20210709001637 CT Order and Referring Only - DentistPractitioner - Dentist 3274804745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12964CTMDClinical Social Worker
136.000171ILMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Dental PLLC Prosthodontics Current Accepting new patients
Kevin C Kopp DDS LTD Prosthodontics PastSince Aug 25, 2019 Accepting new patients
Keith L Guzaitis DDS Inc PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1386928554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERKSHIRE XING",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060016100",
            "telephone_number": "773-787-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BERKSHIRE XING",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060016100",
            "telephone_number": "773-787-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINIS",
        "first_name": "ARISTOTELIS",
        "name_prefix": "Dr.",
        "credential": "DMD,DDS, MS, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "136.000171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.