DR. THEODOROS KATSAROS (NPI# 1366878308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366878308 |
| Entity Type | Individual |
| Full Name | DR. THEODOROS KATSAROS |
| Credential | DDS |
| Practice Address |
446 Dental Science Bldg S Iowa City IA 52242-1001 |
| Mailing Address |
322 Dental Science Bldg S Iowa City IA 52242-1001 |
| Practice Telephone | 3193357233 |
| Mailing Telephone | 3193357440 |
| Mailing Fax Number | 3193357451 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
40166 | IA | Dental Providers |
| Street Address |
446 DENTAL SCIENCE BLDG S |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396218665 | Sandra Wolf | Student in an Organized Health Care Education/Training Program | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2019-01-09 |
| 1528531175 | Stephanie Marisa Vazana | Student in an Organized Health Care Education/Training Program | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2019-01-07 |
| 1245613223 | Marian Antonious | Student in an Organized Health Care Education/Training Program | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2015-07-08 |
| 1639585698 | Kelsey Tengan | Student in an Organized Health Care Education/Training Program | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730595463 | Sarah Rinehart | Dentist | 1517 Mall Dr, Iowa City, IA 52240-3111 | 2014-07-02 |
| 1730487224 | Gustavo Avila Ortiz | Dentist | 322 Dental Science Bldg. S445, S445, Iowa City, IA 52242-1001 | 2011-03-07 |
| 1992951552 | Bill Campbell Rubright | Dentist | 31 Forest Hill Pl Ne, Iowa City, IA 52240-9125 | 2008-08-14 |
| 1962660274 | Satheesh Elangovan | Dentist | 322 S. Dental Science Bldg, Iowa City, IA 52242-1001 | 2008-05-23 |
| 1992992291 | John Delbert Tingey | Dentist | 1800 Calvin Ct Apt 3, Iowa City, IA 52246-3102 | 2007-10-01 |
| 1740485598 | Keelen Tymkiw | Dentist | University of Iowa, College of Dentistry, Periodontics, S450 Dsb, Iowa City, IA 52242 | 2007-06-20 |
| 1871686295 | Phillip Argles Lainson | Dentist | 16 Ridgewood Ln, Iowa City, IA 52245-1632 | 2006-09-30 |
| 1629172622 | Steven Heyen Clark | Dentist | 801 Newton Ave, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1932202140 | Ann Wegener Romanowski | Dentist | 1517 Mall Drive, Iowa City, IA 52240 | 2006-09-06 |
| 1346723475 | Shaoping Zhang | Dentist | 801 Newton Rd, Iowa City, IA 52242-1001 | 2018-09-14 |
| Find all providers in IOWA CITY | ||||
Please comment or provide details below to improve the information on DR. THEODOROS KATSAROS.
| 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.