Theodora Kompotiati, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

S-695 Issued in LA

Practice address

1100 Florida Avenue Lsuhsc School of Dentistry
Department of Periodontics, 4TH Floor
New Orleans, LA 70119

Phone

(504) 941-8278

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1841626264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVENUE",
            "address_2": "LSUHSC SCHOOL OF DENTISTRY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-941-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLORIDA AVENUE LSUHSC SCHOOL OF DENTISTRY",
            "address_2": "DEPARTMENT OF PERIODONTICS, 4TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70119",
            "telephone_number": "504-941-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPOTIATI",
        "first_name": "THEODORA",
        "name_prefix": "Ms.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "S-695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Kokemor, MD
• Carissa Kimberly Kolakauskas
• Michael Allen Kolinsky, M.D.
• Jessica Soumee Koller Gorham, MD
• Jay K Kolls, MD
• Sneha Koneru, MD
• Baris B Konur, PSY.D.
• Amanda Koob, CNS
• Donald Adrian Koone, MD
• Gilpreet Kooner

• Dentist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.