Individual provider Active NPI

Constantine Bitounis, DDS

  • Dentist
  • Lakewood, OH
National Provider Identifier
1497828305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15395 Issued in OH
Practice address
18125 Sloane Ave
Lakewood, OH 44107-3107
Phone
(216) 221-3550
Fax
(216) 529-8407
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15395 OH Primary

Addresses

Primary practice location

18125 Sloane Ave
Lakewood, OH 44107-3107

Mailing address

18125 Sloane Ave
Lakewood, OH 44107-3107
Phone (216) 221-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20151005000059 OH Order and Referring Only - DentistPractitioner - Dentist 7810205259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15395OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497828305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 SLOANE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073107",
            "telephone_number": "216-221-3550",
            "fax_number": "216-529-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18125 SLOANE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073107",
            "telephone_number": "216-221-3550",
            "fax_number": "216-529-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITOUNIS",
        "first_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.