Robert James Kakos, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN008427 Issued in GA

Practice address

1150 Grimes Bridge Rd
Suite 200
Roswell, GA 30075-3988

Phone

(770) 992-4844

Fax

(770) 641-1511

NPI assigned

Jul 20, 2006

Last updated

Mar 31, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Robert J. Kakos DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Roswell, GA
  • NPI 1285887497
  NPD (past) Authorized official
• Robert S. Attia, DMD, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Roswell, GA
  • NPI 1962936302
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1982624375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GRIMES BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753988",
            "telephone_number": "770-992-4844",
            "fax_number": "770-641-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GRIMES BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753988",
            "telephone_number": "770-992-4844",
            "fax_number": "770-641-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKOS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN008427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX  IDENTIFICATION NUMBE",
            "identifier": "581377835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreyas Jyotishi, DC
• K Smiles Dental PC
• Lesa Kagan, AUD, CCC-A
• Janet Kairu, RPH
• Sagar Kakadia, DDS
• Khaim Kalantarov
• Jayalakshmi Reedy Kalathoor, MD
• Morgan Green Kamau, PT, DPT
• Devyani Kambaliya
• Michael Kanner, LPC

• Oral and Maxillofacial Surgery (Dentist) in Roswell, GA
• Providers in Roswell, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.