Organization Active NPI

Politimi Mantzouranis DDS LLC

  • General Practice Dentistry
  • Frederick, MD
National Provider Identifier
1700051943
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8159 Issued in MD
Legal business name
POLITIMI MANTZOURANIS DDS LLC
Practice address
140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483
Phone
(301) 662-8675
Fax
(301) 662-8975
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Barbara Arrington
Title
Patient Care Coordinator/Manager
Phone
(301) 662-8675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8159 MD Primary

Addresses

Primary practice location

140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483

Mailing address

140 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4483

Other identifiers 1

IdentifierTypeStateIssuer
1285773531OtherNPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

140 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (301) 662-8675

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1700051943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DR",
            "address_2": "SUITE 203",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024483",
            "telephone_number": "301-662-8675",
            "fax_number": "301-662-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLITIMI MANTZOURANIS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "ARRINGTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PATIENT CARE COORDINATOR/MANAGER",
        "authorized_official_telephone_number": "301-662-8675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1285773531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

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