Angelo Kleomenis Kliossis, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN009262 Issued in GA

Practice address

1938 Peachtree Rd. N. W.
Suite 202
Atlanta, GA 30309-1251

Phone

(404) 351-5666

Fax

(404) 351-8726

NPI assigned

Dec 11, 2006

Sex

Male

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 GA

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720148992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 PEACHTREE RD. N. W.",
            "address_2": "SUITE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091251",
            "telephone_number": "404-351-5666",
            "fax_number": "404-351-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 PEACHTREE RD. N. W.",
            "address_2": "SUITE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091251",
            "telephone_number": "404-351-5666",
            "fax_number": "404-351-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIOSSIS",
        "first_name": "ANGELO",
        "middle_name": "KLEOMENIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN009262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Klingenberg, MD
• Christina Klingensmith, MSN, APRN, CPNP-AC
• Elizabeth Smith Klingler, M ED, CCC-SLP
• Paula Klingman-Palk, CCC-SLP
• Laura Klinker, PA
• John David Klisch Jr.
• Rebecca B. Klisovic, M.D.
• Matthew Klopman, M.D.
• Amanda Kathryn Klosky, PAC
• James Klosky, PHD, ABPP

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.