Aristidis Pontikas, DMD MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

50973 Issued in CA

Practice address

301 East Bethany Home Road
Suite B-120
Phoenix, AZ 85012

Phone

(623) 934-1676

Fax

(623) 934-6630

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Aristidis Pontikas, DMD, Ms, PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1609314038
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1760500169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST BETHANY HOME ROAD",
            "address_2": "SUITE B-120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST BETHANY HOME ROAD",
            "address_2": "SUITE B-120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "623-934-1676",
            "fax_number": "623-934-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIKAS",
        "first_name": "ARISTIDIS",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "50973",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "20727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Ngu Kwale Pong, PMHNP-BC
• Valerie Pong, DNP
• Pongratz Orthotics & Prosthetics, Inc.
• Pongratz Orthotics and Prosthetics, Inc.
• Trevor M. Ponte, D.O.
• Addison Parker Pontius, COTA
• Ponya Care
• Craig W. Pool, D.D.S.
• Brittany Poole, LCSW
• Bryan Kevin Poole, RN

• Periodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.