Active NPI
Theodora C Tsatsos, DDS
- Dentist
- Austin, TX
National Provider Identifier
1538732763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37435
- Practice address
- 9800 N Lake Creek Pkwy
Austin, TX 78717-6068 - Phone
- (512) 337-8560
- NPI assigned
- Jul 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37435 | TX | Primary |
Addresses
Primary practice location
9800 N Lake Creek Pkwy
Austin, TX 78717-6068
Mailing address
603 Davis St Apt 1706
Austin, TX 78701-4254
Phone (973) 979-5540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37435 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1538732763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 DAVIS ST APT 1706",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787014254",
"telephone_number": "973-979-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 N LAKE CREEK PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787176068",
"telephone_number": "512-337-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSATSOS",
"first_name": "THEODORA",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-24",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.