Active NPI
Andreas Karatsinides, DDS, MS
- General Practice Dentistry
- Plymouth, MI
National Provider Identifier
1578031274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901022576
- Practice address
- 690 S Main St
Plymouth, MI 48170-1711 - Phone
- (734) 219-4990
- NPI assigned
- Nov 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901022576 | MI | Primary |
Addresses
Primary practice location
690 S Main St
Plymouth, MI 48170-1711
Mailing address
690 S Main St
Plymouth, MI 48170-1711
Phone (734) 219-4990
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022576 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1578031274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701711",
"telephone_number": "734-219-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701711",
"telephone_number": "734-219-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARATSINIDES",
"first_name": "ANDREAS",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901022576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.