Individual provider Active NPI

Hrisoula D Papadopoulos, DMD

  • Dentist
  • Poughkeepsie, NY
National Provider Identifier
1639264823
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045263-1 Issued in NY
Practice address
34 Livingston St
Hudson River Healthcare, Inc.
Poughkeepsie, NY 12601-4713
Phone
(845) 240-7860
Fax
(845) 471-2579
NPI assigned
Oct 4, 2006
Last updated
Jun 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045263-1 NY Primary

Addresses

Primary practice location

34 Livingston St
Hudson River Healthcare, Inc.
Poughkeepsie, NY 12601-4713

Mailing address

1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Phone (914) 734-8800

Other identifiers 1

IdentifierTypeStateIssuer
02653616MedicaidNY

Other names 1

  • Dr. Hrisoula D. Papadopoulos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045263-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1639264823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8800",
            "fax_number": "914-734-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LIVINGSTON ST",
            "address_2": "HUDSON RIVER HEALTHCARE, INC.",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014713",
            "telephone_number": "845-240-7860",
            "fax_number": "845-471-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "HRISOULA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045263-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02653616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HRISOULA",
            "last_name": "PAPADOPOULOS",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.