1. Home
  2. Directory
  3. Oklahoma
  4. Poteau
  5. Dentist
  6. NPI Profile

THEODORE NICHOLAS KONDOS DDS
NPI 1659444602
Dentist in Poteau, OK

Active since November 16, 2006PECOS Enrolled
2208 N BROADWAY #104, POTEAU, OK 74953(918) 647-8266(918) 647-9118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Nicholas Kondos Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE NICHOLAS KONDOS DDS (NPI 1659444602) is an individual dentist in Poteau, Oklahoma, licensed in Oklahoma (4254) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659444602
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHEODORE NICHOLAS KONDOSCredential: DDS
Location Address2208 N BROADWAY #104Poteau, OK 74953-0933
Mailing AddressPo Box 933, 2208 N Broadway #104Poteau, OK 74953-0933 · (918) 647-8266 · Fax (918) 647-9118
Phone(918) 647-8266
Fax(918) 647-9118
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659444602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 4254
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2208 N BROADWAY #104, Poteau, OK 74953
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Nicholas Kondos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Kondos's NPI number?

The NPI number for Theodore Kondos is 1659444602. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Theodore Kondos located?

Theodore Kondos practices at 2208 N Broadway #104, Poteau, OK 74953. The listed phone number is (918) 647-8266.

What is Theodore Kondos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theodore Kondos enrolled in Medicare?

Yes. Theodore Kondos is registered in the Medicare PECOS enrollment system.

What insurance does Theodore Kondos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 10 other insurers list Theodore Kondos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Kondos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.