Individual provider Active NPI

Christos Constantin Loukaitis, D.D.S., M.S.

  • Prosthodontics
  • Washington, DC
National Provider Identifier
1962677559
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN5196 Issued in DC
Practice address
4434 Macarthur Blvd NW
Suite 101
Washington, DC 20007-2500
Phone
(202) 965-0333
Fax
(202) 333-8756
NPI assigned
Apr 24, 2008
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DEN5196 DC Primary
Prosthodontics 1223P0700X 0401008318 VA
Prosthodontics 1223P0700X 11228 MD

Addresses

Primary practice location

4434 Macarthur Blvd NW
Suite 101
Washington, DC 20007-2500

Mailing address

4434 Macarthur Blvd NW
Suite 101
Washington, DC 20007-2550
Phone (202) 965-0333

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11228MDMDClinical Social Worker
DEN5196DCMDProsthodontist
0401008318VAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1962677559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 MACARTHUR BLVD NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072550",
            "telephone_number": "202-965-0333",
            "fax_number": "202-333-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 MACARTHUR BLVD NW",
            "address_2": "SUITE 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072500",
            "telephone_number": "202-965-0333",
            "fax_number": "202-333-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUKAITIS",
        "first_name": "CHRISTOS",
        "middle_name": "CONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "DC",
            "license": "DEN5196",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401008318",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "11228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.