NPIMap

Organization Active NPI

Iwona E. Kubiczek, DDS, PC

  • Dentist
  • Bel Air, MD
National Provider Identifier
1154584506
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11652 Issued in MD
Legal business name
IWONA E. KUBICZEK, DDS, PC
Practice address
2021B Emmorton Rd
Suite 216
Bel Air, MD 21015-8980
Phone
(410) 838-4404
Fax
(410) 515-1283
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Iwona E Kubiczek, DDSNPI 1881752806
Title
Owner
Phone
(410) 838-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11652 MD Primary

Addresses

Primary practice location

2021B Emmorton Rd
Suite 216
Bel Air, MD 21015-8980

Mailing address

2021B Emmorton Rd
Suite 216
Bel Air, MD 21015-8980
Phone (410) 838-4404

National Provider Directory

National Provider Directory

Locations

2021B Emmorton Rd
Ste 216
Bel Air, MD 21015
Phone (410) 838-4404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1154584506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021B EMMORTON RD",
            "address_2": "SUITE 216",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158980",
            "telephone_number": "410-838-4404",
            "fax_number": "410-515-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021B EMMORTON RD",
            "address_2": "SUITE 216",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158980",
            "telephone_number": "410-838-4404",
            "fax_number": "410-515-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWONA E. KUBICZEK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KUBICZEK",
        "authorized_official_first_name": "IWONA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-838-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.