DR. CHRISTOS KOUMOUTSEAS (NPI# 1487774634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487774634 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOS KOUMOUTSEAS |
| Other Name | DR. CHRISTOS KOUMOUTSEAS |
| Practice Address |
1417dorchester Ave Boston MA 02122 |
| Mailing Address |
1417 Dorchester Ave Dorchester MA 02122-2915 |
| Practice Telephone | 6179294300 |
| Mailing Telephone | 6179294300 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17622 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2177598 | 05 |
| Street Address |
1417DORCHESTER AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867692 | Anisha Sharma | Dentist | 50 Malden St Apt 611, Boston, MA 02118-2894 | 2020-09-30 |
| 1497360572 | Nivedhitha Ramesh | Dentist | 715 Albany St # 437, Boston, MA 02118-2526 | 2020-09-15 |
| 1225655152 | Qian Lin | Dentist | 151 Tremont St Apt 9s, Boston, MA 02111-1145 | 2020-06-26 |
| 1982225223 | Stephanie Mccarthy Brooks | Dentist | 63 Rutland St Apt 2, Boston, MA 02118-1586 | 2020-04-28 |
| 1922656008 | Amro Ehsan Moharem | Dentist | 888 Washington St Apt 204, Boston, MA 02111-1434 | 2019-08-31 |
| 1104486521 | Christine Chiao | Dentist | 691 Massachusetts Ave Unit 404, Boston, MA 02118-4079 | 2019-06-18 |
| 1912466988 | Kathleen Murphy | Dentist | 75 Chestnut St Apt 22, Boston, MA 02108-1137 | 2019-03-18 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1508347717 | Omar Alani | Dentist | 100 E Newton St Dept Of, Boston, MA 02118-2308 | 2018-08-25 |
| 1912490822 | Mikenah Joy Vega | Dentist | 231 Harrison Ave Apt 16, Boston, MA 02111-1857 | 2018-06-14 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.