Michael A Koumaras, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS037303 Issued in PA

Practice address

9525 Frankford Ave
Philadelphia, PA 19114-2812

Phone

(215) 333-9697

Fax

(215) 333-8514

NPI assigned

Mar 19, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1962673723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142812",
            "telephone_number": "215-333-9697",
            "fax_number": "215-333-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142812",
            "telephone_number": "215-333-9697",
            "fax_number": "215-333-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMARAS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofiane Youcef Kouadria, MD
• Lymay Kouai, PA-C
• Aikaterini Koukas, OD
• Rosemary Hynes Koul, MSN, CRNP, CPNP-AC
• Sheetal Koul, MD
• Alexa Kourafas
• Alison Nicole Kourlesis, PA-C
• Peter T. Kousoulis, D.M.D.
• Alexis Anna-May Koutroulakis, L.C.S.W.
• Alexandra Sophia Koutsoubis, MD

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.