Panos George Goupios, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

315565-9922 Issued in UT

Practice address

573 N 1000 W
Clearfield, UT 84015-9368

Phone

(801) 776-1000

Fax

(801) 776-5277

NPI assigned

Oct 11, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

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 UT

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Care Center, PLLC.

  • Dentist
  • Clearfield, UT
  • NPI 1053425918
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1932397197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 N 1000 W",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840159368",
            "telephone_number": "801-776-1000",
            "fax_number": "801-776-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 N 1000 W",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840159368",
            "telephone_number": "801-776-1000",
            "fax_number": "801-776-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUPIOS",
        "first_name": "PANOS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "315565-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarece Glanville, RN
• Laroy Glover
• Samuel Glover
• Quantavious Golette
• Charalabos G Goupios, DDS
• Carla Gratton
• Alissa Green
• Brandon Griggs
• Growth and Acceptance LLC
• Orlando Gutierrez

• Dentist in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.