Andrew Katerakis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

260122 Issued in NC

Practice address

4310 Park Rd
#205
Charlotte, NC 28209-2268

Phone

(704) 525-3939

NPI assigned

Apr 24, 2013

Last updated

Jul 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charlotte Emergency Dental Clinic

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1538494356
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1720422389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092272",
            "telephone_number": "704-525-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 PARK RD",
            "address_2": "#205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092268",
            "telephone_number": "704-525-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATERAKIS",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "260122",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7039-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Douglas Kastner, MD
• Elizabeth Anna Kastory
• Shilpa Kasuganti
• Smita Kataria, MPT
• Rutvi Chetankumar Katariya, MD
• Katherine S Pak, DDS PLLC
• Kathryn J Sudikoff DMD PLLC
• Kathyrn D. Jendrasik-Savitsky, DMD, PA
• William G. Katibah III, M.D.
• Katie Blessing Center, LLC

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.