Active NPI
Brian Raymond Kwapisz, D.D.S.
- Dentist
- Charlevoix, MI
National Provider Identifier
1073680237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901017283
- Practice address
- 303 Belvedere Ave
Charlevoix, MI 49720-1451 - Phone
- (231) 547-4148
- Fax
- (231) 547-5670
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901017283 | MI | Primary |
Addresses
Primary practice location
303 Belvedere Ave
Charlevoix, MI 49720-1451
Mailing address
303 Belvedere Ave
Charlevoix, MI 49720-1451
Phone (231) 547-4148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901017283 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Family Dental PLC | Current | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center
- Charlevoix, MI
- NPI 1053992057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1073680237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 BELVEDERE AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201451",
"telephone_number": "231-547-4148",
"fax_number": "231-547-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 BELVEDERE AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201451",
"telephone_number": "231-547-4148",
"fax_number": "231-547-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAPISZ",
"first_name": "BRIAN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901017283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlevoix, MI
- David Scott Kelly, MA,CAADC,MAC,CCS
- Vicki Kemp
- Barrett Alexander Kielhorn, D.O.
- Susan Mary Killam, RN,MSN,NP
- Laura Kitzmiller, M.D.
- Lake Charlevoix Emergency Medical Services Authority
- Lakeshore Chiropractic and Sports Rehabilitation PLLC
- Lakeshore Sleep Medicine PLC
- Marc E Lame, M.D.
- Danielle Lamsa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.