Active NPI
Tommy Kakouras DMD PA
- Dentist
- Charlotte, NC
National Provider Identifier
1720252380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7838
- Legal business name
- TOMMY KAKOURAS DMD PA
- Doing business as
- Kakouras Famiyl Dentistry
- Practice address
- 11020 South Tryon Street
Suite 401
Charlotte, NC 28273-6661 - Phone
- (704) 504-8070
- Fax
- (704) 504-8885
- NPI assigned
- Apr 15, 2008
- Organization subpart
- Yes
- Parent organization
- TOMMY KAKOURAS DMD PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Athanasios Panagiotis Kakouras, DMD
- Title
- Owner Dentist
- Phone
- (704) 504-8070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7838 | NC | Primary |
Addresses
Primary practice location
11020 South Tryon Street
Suite 401
Charlotte, NC 28273-6661
Mailing address
11020 South Tryon Street
Suite 401
Charlotte, NC 28273-6661
Phone (704) 504-8070
Other names 1
- Kakouras Famiyl Dentistry
National Provider Directory
National Provider Directory- Part of
- Tommy Kakouras DMD PA
Locations
11020 S Tryon St
Ste 401
Charlotte, NC 28273
Phone (704) 504-8070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1669466371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1720252380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11020 SOUTH TRYON STREET",
"address_2": "SUITE 401",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736661",
"telephone_number": "704-504-8070",
"fax_number": "704-504-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 SOUTH TRYON STREET",
"address_2": "SUITE 401",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736661",
"telephone_number": "704-504-8070",
"fax_number": "704-504-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMMY KAKOURAS DMD PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOMMY KAKOURAS DMD PA",
"enumeration_date": "2008-04-15",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "KAKOURAS",
"authorized_official_first_name": "ATHANASIOS",
"authorized_official_middle_name": "PANAGIOTIS",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "704-504-8070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "7838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kakouras Famiyl Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.