Active NPI
Constantine Kademenos, DDS
- Dentist
- Wheeling, WV
National Provider Identifier
1730253097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1577
- Practice address
- 53 14TH St
Suite 300 Riley BLDG
Wheeling, WV 26003 - Phone
- (304) 232-4121
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1577 | WV | Primary |
Addresses
Primary practice location
53 14TH St
Suite 300 Riley BLDG
Wheeling, WV 26003
Mailing address
53 14TH St
Suite 300 Riley BLDG
Wheeling, WV 26003
Phone (304) 232-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730253097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 14TH ST",
"address_2": "SUITE 300 RILEY BLDG",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-232-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 14TH ST",
"address_2": "SUITE 300 RILEY BLDG",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-232-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADEMENOS",
"first_name": "CONSTANTINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "1577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.