John Chondrogiannis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046940 Issued in NY

Practice address

180 Brook St
Scarsdale, NY 10583-5439

Phone

(914) 722-7667

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 16, 2016 through Mar 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scarsdale Family Dental

  • General Practice Dentistry
  • Scarsdale, NY
  • NPI 1518189661
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609098748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROOK ST",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835439",
            "telephone_number": "914-722-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROOK ST",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835439",
            "telephone_number": "914-722-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONDROGIANNIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Education of Westchester,LLC
• Child OT of Westchester
• Chiropractic of New York,P.C.
• Jae H Choi, D.D.S.
• Yvonne Manyee Choi, M.D.
• Raymond Tsu-Ye Chow, M.D.
• Christine Jones-Howard
• Christopher Lee Medical P.C.,
• Freda E Chu, M.D.
• City Dental Service Provider, PLLC

• General Practice Dentistry in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.