Individual provider Active NPI

Christos Angelopoulos, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • New York, NY
National Provider Identifier
1407005846
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
053464-1 Issued in NY
Practice address
101 W End Ave
Apt #10B
New York, NY 10023-6349
Phone
(646) 541-9183
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 053464-1 NY Primary

Addresses

Primary practice location

101 W End Ave
Apt #10B
New York, NY 10023-6349

Mailing address

101 W End Ave
Apt #10B
New York, NY 10023-6349
Phone (646) 541-9183

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
053464-1NYMDOral and Maxillofacial Radiology Dentist

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1407005846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W END AVE",
            "address_2": "APT #10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236349",
            "telephone_number": "646-541-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W END AVE",
            "address_2": "APT #10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236349",
            "telephone_number": "646-541-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOPOULOS",
        "first_name": "CHRISTOS",
        "name_prefix": "Prof.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NY",
            "license": "053464-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.