Individual provider Active NPI

Donald Allen Kwarciany, DDS MS

  • Pediatric Dentistry
  • Hales Corners, WI
National Provider Identifier
1023118973
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4883015 Issued in WI
Practice address
11035 W Forest Home Ave
116
Hales Corners, WI 53130
Phone
(414) 529-1110
Fax
(414) 529-1134
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4883015 WI Primary
General Practice Dentistry 1223G0001X 2901014807 MI

Addresses

Primary practice location

11035 W Forest Home Ave
116
Hales Corners, WI 53130

Mailing address

11035 W Forest Home Ave
116
Hales Corners, WI 53130
Phone (414) 529-1110

Other names 1

  • Dr. Donald Allen Kwarciany Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212001182 TX Practitioner - Oral Surgery 8729217872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2901014807MIMDGeneral Practice Dentistry
4883015WIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Nov 4, 2013 Accepting new patients
Tuba City Regional Health Care Corporation General Practice CurrentSince Nov 4, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1023118973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "53130",
            "telephone_number": "414-529-1110",
            "fax_number": "414-529-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "116",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "53130",
            "telephone_number": "414-529-1110",
            "fax_number": "414-529-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARCIANY",
        "first_name": "DONALD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "4883015",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "KWARCIANY",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "credential": "DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.