Athina Katsougrakis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053943-1 Issued in NY

Practice address

900 Walt Whitman Rd
Suite 105
Melville, NY 11747-2293

Phone

(631) 271-9199

NPI assigned

Mar 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1497078562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-271-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-271-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSOUGRAKIS",
        "first_name": "ATHINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053943-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kaplan
• Catherine Faith Kappenberg, LCSW
• Cora Karmi Gross, OTR L CHT
• Habeeb Kassim
• Julia Anastasia Katartzis
• Megan A Katz, PA
• Miles Katz
• Risa Katz, LCSW
• Stacey Katz
• Lovejit Kaur

• General Practice Dentistry in Melville, NY
• Providers in Melville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.