Serafim N Reppas, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.023650 Issued in OH

Practice address

1551 S Water St
Kent, OH 44240-4441

Phone

(330) 678-6564

Fax

(330) 676-6973

NPI assigned

Oct 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sreppas36977@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1639403033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404441",
            "telephone_number": "330-678-6564",
            "fax_number": "330-676-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404441",
            "telephone_number": "330-678-6564",
            "fax_number": "330-676-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPAS",
        "first_name": "SERAFIM",
        "middle_name": "N",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS037067",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.023650",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35.099912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elizabeth Reed, B.S.
• Christopher David Reese
• Kennly M Renicker, LPN
• Julia Repasky, M.A. CCC-SLP
• Jordan M Repko, QBHS
• Susan Ann Revak, PCC
• Teresa Geiser Reyes, LSW
• Tonya Reynolds-Taylor, PT, MS
• Emily Elaine Reynolds, OD
• Kianoush V Rezaei, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Kent, OH
• Providers in Kent, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.