Panagiota Stathopoulou DMD LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

PANAGIOTA STATHOPOULOU DMD LLC

Doing business as

Fusion Dental Specialists

Practice address

9300 SE 91St Ave Ste 403
Happy Valley, OR 97086-3762

Phone

(503) 653-2299

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Panagiota Stathopoulou, DMD

Title

Owner

Phone

(503) 653-2299

Specialties & licenses 2

Addresses

Other names 1

• Fusion Dental Specialists Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fransiskus Andrianto Tjiptowidjojo, D.D.S., M.S.

  • Prosthodontics
  • Happy Valley, OR
  • NPI 1578985495
  NPD
• Reva M Barewal, D.D.S.,M.S.

  • Prosthodontics
  • Happy Valley, OR
  • NPI 1689888786
  NPD (past)
• Lillian Pham Nguyen, DMD, MS

  • Student in an Organized Health Care Education/Training Program
  • Tigard, OR
  • NPI 1144741083

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1790415537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAGIOTA STATHOPOULOU DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "STATHOPOULOU",
        "authorized_official_first_name": "PANAGIOTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-653-2299",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaneah Owen, PT
• Pacific Eye Group, PC
• Pacific Medical Imaging, Inc.
• Yume Kim Paige, OD
• Erin Palmer-Dudley, LPC
• Sang M Park, DC
• Dharti Patel
• Taylor Lee Patterson, PT, DPT
• Paula M Crone, DO PC
• Jeffrey P Pavelka, DO

• Prosthodontics in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Prosthodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.