Individual provider Active NPI

Ioli Bitsakou, D.D.S.

  • Pediatric Dentistry
  • Knoxville, TN
National Provider Identifier
1922789692
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13153 Issued in TN
Practice address
10910 Kingston Pike Unit 105
Knoxville, TN 37934-2948
Phone
(865) 855-1026
NPI assigned
Jul 26, 2023
Reactivated
May 13, 2024
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 13153 TN Primary
Pediatric Dentistry 1223P0221X 019037055 IL

Addresses

Primary practice location

10910 Kingston Pike Unit 105
Knoxville, TN 37934-2948

Mailing address

1331 Beacon Hill LN
Knoxville, TN 37919-7684
Phone (984) 318-5558

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

LicenseStateTypeSpecialty
019037055ILMDPediatric Dentist
13153TNMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1922789692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BEACON HILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197684",
            "telephone_number": "984-318-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE UNIT 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342948",
            "telephone_number": "865-855-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITSAKOU",
        "first_name": "IOLI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "deactivation_date": "2024-02-28",
        "reactivation_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "13153",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019037055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

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

Verify at the official NPI Registry.