Active NPI
George Nathan Metropulos, DDS
- Dentist
- Osceola, WI
National Provider Identifier
1831354737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6293-15
- Practice address
- 108 Chieftain St.
Osceola, WI 54020-0159 - Phone
- (715) 294-2202
- Fax
- (715) 294-9995
- NPI assigned
- Jul 21, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6293-15 | WI | Primary |
Addresses
Primary practice location
108 Chieftain St.
Osceola, WI 54020-0159
Mailing address
PO Box 159
Osceola, WI 54020-0159
Phone (715) 294-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2021 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hauge Dental Care, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Osceola, WI
- NPI 1780724153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1831354737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540200159",
"telephone_number": "715-294-2202",
"fax_number": "715-294-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 CHIEFTAIN ST.",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540200159",
"telephone_number": "715-294-2202",
"fax_number": "715-294-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METROPULOS",
"first_name": "GEORGE",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6293-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osceola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.