Katerina Sioutis DMD, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KATERINA SIOUTIS DMD, LLC

Doing business as

Media Dentistry

Practice address

415 E Baltimore Ave Ste 2
Media, PA 19063-3538

Phone

(610) 566-3600

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dean Kanellopoulos

Title

Office Manager

Phone

(610) 566-3600

Specialties & licenses 3

Addresses

Other names 1

• Media Dentistry Doing business as

Locations

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1568839827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E BALTIMORE AVE STE 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633538",
            "telephone_number": "610-566-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E BALTIMORE AVE STE 2",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633538",
            "telephone_number": "610-566-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATERINA SIOUTIS DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "KANELLOPOULOS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-566-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Media Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijay Sridhar Karajala-Subramanyam
• Nicholas Karalis, RPH
• Najada Karanxha, RBT
• Julia Ann Kasper, CRNP, ANP-BC
• Christine Kass, LPC
• Kateryna Dukenski, LLC
• Leila Katz-Boyd
• James Scott Kauffman, PTA
• Capri Kee
• Ryan Patrick Keller, CRNP

• Dentist in Media, PA
• Providers in Media, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.