Christy L Georgoulis, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

007148 Issued in CT

Practice address

120 Main St
Danbury, CT 06810-7834

Phone

(203) 743-9760

NPI assigned

Jan 3, 2018

Last updated

Jan 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 CT

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Institute for Communities Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1780918045

  Multi-Specialty

  Medicare reassignment NPD
• Connecticut Institute for Communities Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1528499969

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1700393584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "203-743-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107834",
            "telephone_number": "203-743-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGOULIS",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "007148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Genovese
• George L Landress DDS PC
• Lisa Shea George, MSW
• Priscilla George
• Andreas Georgiou, D.C.
• Joan Ellen Gereg, APRN
• Kemi Amos Gerfen, DMD
• Christopher German, PA
• Michael Lance Gerstenfeld, M.D.
• Michele Daneen Gerstenfeld, N.D.

• Dental Hygienist in Danbury, CT
• Providers in Danbury, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.