Collin Kwasnik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0133962 Issued in VT

Practice address

395 Paine Tpke N
Berlin, VT 05602-9157

Phone

(802) 229-0561

NPI assigned

Mar 26, 2020

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Practice roles

Locations

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

• Northeast Washington County Community Health, Inc.

  dba The Health Center

  • Federally Qualified Health Center (FQHC)
  • Plainfield, VT
  • NPI 1699755348
  Medicare reassignment NPD
• Collin Kwasnik, DDS, Inc.

  • Dental Clinic/Center
  • Berlin, VT
  • NPI 1497323901
  NPD Authorized official
• Kwasnik Family Dental, LLC

  • General Practice Dentistry
  • Berlin, VT
  • NPI 1427821404
  NPD
• Northeast Washington County Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Cabot, VT
  • NPI 1902008485
  NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1154958213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 COX BROOK RD",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056636614",
            "telephone_number": "802-272-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PAINE TPKE N",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029157",
            "telephone_number": "802-229-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIK",
        "first_name": "COLLIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0133962",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day Kokarev, MSW
• Casey Kolb Nava, M.D.
• Lise S Kowalski, M.D.
• Karen L Kurrle, MA
• Kwasnik Family Dental, LLC
• Corin Kwasnik, DMD
• Kim A. Ladue, FNP
• Morgan Lamson, NP
• Constance Lanphear, RN
• Daniel Louis Lecours, MD

• General Practice Dentistry in Berlin, VT
• Providers in Berlin, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.