DR. NIKOLAOS THEODOROU (NPI# 1245433283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245433283 |
| Entity Type | Individual |
| Full Name | DR. NIKOLAOS THEODOROU |
| Credential | DDS |
| Practice Address |
19717 Sherman Way Canoga Park CA 91306 |
| Practice Telephone | 8187090090 |
| Practice Fax Number | 8187096002 |
| Mailing Telephone | 8187090090 |
| Mailing Fax Number | 8187096002 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40029 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DENTICAL TREATING PROVIDE | D40029 | 01 |
| Street Address |
19717 SHERMAN WAY |
| City | CANOGA PARK |
| State | CA |
| Zip Code | 91306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225152952 | Theodorou Professional Dental Corp. | Dentist | 19717 Sherman Way, Canoga Park, CA 91306 | 2007-03-19 |
| 1255534293 | Larisa Theodorou | Dentist | 19717 Sherman Way, Canoga Park, CA 91306 | 2007-06-07 |
| 1710974837 | Victoria Dental Group - Theodorou Professional Dental Corp | Dentist | 19717 Sherman Way, Canoga Park, CA 91306-3601 | 2005-10-04 |
| 1659368835 | Victoria Dental Group - Theodorou Professional Dental Corp | Dentist | 19717 Sherman Way, Canoga Park, CA 91306-3601 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
| 1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
| 1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
| 1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
| 1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
| 1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
| 1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
| 1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
| 1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
| 1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
| Find all providers in zip 91306 | ||||
| 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 |
|---|---|---|---|---|
| 1356949234 | Mahsa Samouhi | Dentist | 21601 Vanowen St Ste 100, Canoga Park, CA 91303-2752 | 2020-10-13 |
| 1801319975 | Zahra Amirani Dds A Professional Corporation | Dentist | 22030 Sherman Way Ste 204, Canoga Park, CA 91303-1875 | 2017-07-20 |
| 1427213370 | Adriana Elisa Kenney | Dentist | 21300 Sherman Way Ste 15, Canoga Park, CA 91303-3697 | 2008-07-21 |
| 1609045939 | Behnaz Sepehripour, Dds A Professional Dental Corporation | Dentist | 8320 Desoto Ave, Canoga Park, CA 91304-2701 | 2008-02-20 |
| 1588852404 | Chela Sarah Altman I | Dentist | 8300 Valley Circle Blvd Ste B, Canoga Park, CA 91304-3023 | 2007-10-04 |
| 1093909731 | Rita M. Antolin | Dentist | 21301 Saticoy St, Suite A, Canoga Park, CA 91304-5639 | 2007-09-05 |
| 1205044369 | Carl Joseph Johnson | Dentist | 7241 Owensmouth Ave, Canoga Park, CA 91303-1530 | 2007-05-20 |
| 1225240823 | Abolghasem Sinai | Dentist | 7257 Vassar Ave Ste 203, Canoga Park, CA 91303-4409 | 2007-05-04 |
| 1164544573 | Edgardo A. De La Vega | Dentist | 22114 Roscoe Blvd, Canoga Park, CA 91304-3838 | 2007-04-05 |
| 1457472615 | Luz Cubillos D.d.s., Inc. | Dentist | 20434 Sherman Way, Canoga Park, CA 91306-3110 | 2007-04-03 |
| Find all providers in CANOGA PARK | ||||
| City | CANOGA PARK |
| Zip Code | 91306 |
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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.