Organization Active NPI

Kontoveros Klobas Clark LLC

  • Dental Clinic/Center
  • Cleveland, OH
National Provider Identifier
1770178956
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KONTOVEROS KLOBAS CLARK LLC
Doing business as
2K Dental
Practice address
2500 Clark Ave
Cleveland, OH 44109-1111
Phone
(216) 860-1195
NPI assigned
Mar 9, 2021
Organization subpart
Yes
Parent organization
KONTOVEROS KLOBAS HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. George Kontoveros
Title
Owner
Phone
(216) 273-1413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2500 Clark Ave
Cleveland, OH 44109-1111

Mailing address

2500 Clark Ave
Cleveland, OH 44109-1111

Other names 1

  • 2K Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Clark Ave
Cleveland, OH 44109
Phone (216) 696-1515

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1770178956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091111",
            "telephone_number": "216-860-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONTOVEROS KLOBAS CLARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KONTOVEROS KLOBAS HOLDINGS LLC",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "KONTOVEROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-273-1413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2K Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "2K Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.