Organization Active NPI

Steven G. Kolokithas, DDS, a Prof. Corp.

  • Dental Clinic/Center
  • Redwood City, CA
National Provider Identifier
1699899039
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41633 Issued in CA
Legal business name
STEVEN G. KOLOKITHAS, DDS, A PROF. CORP.
Practice address
2920 Broadway
Redwood City, CA 94062-1578
Phone
(650) 368-1353
Fax
(650) 365-5672
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Steven George Kolokithas, D.D.S.
Title
President
Phone
(650) 368-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 41633 CA Primary

Addresses

Primary practice location

2920 Broadway
Redwood City, CA 94062-1578

Mailing address

2920 Broadway
Redwood City, CA 94062-1578
Phone (650) 368-1353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1699899039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621578",
            "telephone_number": "650-368-1353",
            "fax_number": "650-365-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621578",
            "telephone_number": "650-368-1353",
            "fax_number": "650-365-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. KOLOKITHAS, DDS, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "KOLOKITHAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-368-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.