Daniel Kazachkov, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22168 Issued in MA

Practice address

1144 Newport Ave
Attleboro, MA 02703-7033

Phone

(508) 223-3900

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Arts of Westwood Inc

  • General Practice Dentistry
  • Westwood, MA
  • NPI 1356739148
  NPD (past) Authorized official
• 42 North Dental Care, LLC

  • Dental Clinic/Center
  • South Attleboro, MA
  • NPI 1639448392
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1063672947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 M ST",
            "address_2": "#1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NEWPORT AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027037033",
            "telephone_number": "508-223-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZACHKOV",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Kaplan, MD
• Nithin Sripathi Karanth, M.D.
• Jane Waithira Kariuki, RN
• Debra Kasper
• Randal B Kaufman, MD
• Kristen Keefe
• Raina S Keenan, M.A.
• Laura Gaeta Kehoe, MD
• Kelley Costello, LMFT, Inc.
• Kyle Elizabeth Kellner

• Dentist in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.