George Michael Kontoveros, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.025472 Issued in OH

Practice address

1440 Rockside Rd
Parma, OH 44134-2774

Phone

(216) 749-4500

NPI assigned

Jun 10, 2018

Sex

Male

Sole proprietor

No

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

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

State licenses

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1679066112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 HEATHER LN",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441335258",
            "telephone_number": "440-465-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342774",
            "telephone_number": "216-749-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14783 Pearl Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441365026",
            "country_code": "US",
            "telephone_number": "440-238-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONTOVEROS",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Kofman, MD
• Lisa M Kohut, LSW
• Koinonia Partners Unlimited, LLC
• Svitlana Kondouch
• Kontoveros Klobas Parma LLC
• Beth Korczynski, M.A. CCC-SLP
• Oleg Kornik
• Yuri Kornik
• Alison Kosco, LPN
• Inna Kostiv

• Dentist in Parma, OH
• Providers in Parma, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.