Michael J. Kokorelis, DMD, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0401005924 Issued in VA

Legal business name

MICHAEL J. KOKORELIS, DMD, INC.

Practice address

2113 Hartford Rd
Hampton, VA 23666-2575

Phone

(757) 827-1572

Fax

(757) 827-8895

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J. Kokorelis, DMD

Title

President

Phone

(757) 827-1572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669692547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662575",
            "telephone_number": "757-827-1572",
            "fax_number": "757-827-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 HARTFORD RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662575",
            "telephone_number": "757-827-1572",
            "fax_number": "757-827-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. KOKORELIS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KOKORELIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-827-1572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401005924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Meriwether
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• Jenny Meyer
• Christian Ogura Meyers, D.D.S.
• Kenneth Sadler Meyers, MD
• Michael P. McCormick Jr., D.D.S., P.C.
• Jennifer Michaelides, DPT
• McKelle Mickelson
• Alegria A Miclat, RPH
• Mid Atlantic Investments Enterprise Inc

• Periodontics in Hampton, VA
• Providers in Hampton, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.