Active NPI
Dimitrios Mihelogiannakis, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Rochester, NY
National Provider Identifier
1619472818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 000088
- Practice address
- 625 Elmwood Ave
Eastman Institute for Oral Health
Rochester, NY 14620 - Phone
- (585) 642-3379
- NPI assigned
- Mar 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 000088 | NY | Primary |
Addresses
Primary practice location
625 Elmwood Ave
Eastman Institute for Oral Health
Rochester, NY 14620
Mailing address
60 Crittenden Blvd.
Apt 427
Rochester, NY 14620
Phone (585) 642-3379
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 |
|---|---|---|---|
| 000088 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1619472818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CRITTENDEN BLVD.",
"address_2": "APT 427",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-642-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ELMWOOD AVE",
"address_2": "EASTMAN INSTITUTE FOR ORAL HEALTH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-642-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHELOGIANNAKIS",
"first_name": "DIMITRIOS",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-28",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "000088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.