Active NPI
Charles A. Kokinos, DMD
- General Practice Dentistry
- Lowell, MA
National Provider Identifier
1790727527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12261
- Practice address
- 54 Church St
Lowell, MA 01852-2622 - Phone
- (978) 454-7791
- Fax
- (978) 453-8730
- NPI assigned
- Jun 13, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12261 | MA | Primary |
Addresses
Primary practice location
54 Church St
Lowell, MA 01852-2622
Mailing address
54 Church St
Lowell, MA 01852-2622
Phone (978) 454-7791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12261 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790727527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 CHURCH ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522622",
"telephone_number": "978-454-7791",
"fax_number": "978-453-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 CHURCH ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522622",
"telephone_number": "978-454-7791",
"fax_number": "978-453-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKINOS",
"first_name": "CHARLES",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.