Active NPI
Athanasios Ntounis, DDS,MS
- Periodontics
- Fredericksburg, VA
National Provider Identifier
1760817001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401414860
- Practice address
- 609 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-4566 - Phone
- (540) 373-3066
- NPI assigned
- Sep 5, 2013
- Last updated
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 0401414860 | VA | Primary |
Addresses
Primary practice location
609 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-4566
Mailing address
609 Jefferson Davis Hwy
Suite 101
Fredericksburg, VA 22401-4566
Phone (540) 373-3066
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414860 | VA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1760817001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 JEFFERSON DAVIS HWY",
"address_2": "SUITE 101",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014566",
"telephone_number": "540-373-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 JEFFERSON DAVIS HWY",
"address_2": "SUITE 101",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014566",
"telephone_number": "540-373-3066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTOUNIS",
"first_name": "ATHANASIOS",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "0401414860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.