Individual provider Active NPI

Ewa Kalinowska, DMD

  • Dentist
  • Beaver Dam, WI
National Provider Identifier
1073404315
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
600191415 Issued in WI
Practice address
302 N Spring St
Beaver Dam, WI 53916-2044
Phone
(773) 450-7214
NPI assigned
Jul 14, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 600191415 WI Primary

Addresses

Primary practice location

302 N Spring St
Beaver Dam, WI 53916-2044

Mailing address

6819 W Devon Ave
Chicago, IL 60631-2032
Phone (773) 450-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
600191415WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1073404315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312032",
            "telephone_number": "773-450-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N SPRING ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162044",
            "telephone_number": "773-450-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINOWSKA",
        "first_name": "EWA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "600191415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.