Active NPI
Michael G. Katsaros, DMD
- Dentist
- Washington, DC
National Provider Identifier
1548412174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN1000953
- Practice address
- 1430 K Street NW
8TH Floor
Washington, DC 20005 - Phone
- (202) 223-6630
- Fax
- (202) 830-0476
- NPI assigned
- Oct 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22268 | NJ | |
| Dentist | 122300000X | DEN1000953 | DC | Primary |
Addresses
Primary practice location
1430 K Street NW
8TH Floor
Washington, DC 20005
Mailing address
1430 K Street NW
8TH Floor
Washington, DC 20005
Phone (202) 223-6630
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 |
|---|---|---|---|
| DEN1000953 | DC | MD | Dentist |
| 22268 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1548412174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 K STREET NW",
"address_2": "8TH FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20005",
"telephone_number": "202-223-6630",
"fax_number": "202-830-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 K STREET NW",
"address_2": "8TH FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20005",
"telephone_number": "202-223-6630",
"fax_number": "202-830-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSAROS",
"first_name": "MICHAEL",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-14",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22268",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1000953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.