Bernice Szafarek, DMD – General Practice Dentistry

Key facts

NPI: 1174620140
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 6527 (CT)
Practice address: 187 Route 66E
Columbia, CT 06237
Phone: (860) 228-8492
Fax: (860) 228-8495
NPI assigned: Sep 20, 2006
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160108000151	CT	Order and Referring Only - Dentist Practitioner - Dentist	7618279647

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6527	CT	MD	Occupational Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	6527	CT	Yes

Addresses

Primary practice location

187 Route 66E
Columbia, CT 06237

Mailing address

PO Box 87
187 RT 66E
Columbia, CT 06237
Phone (860) 228-8492

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174620140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "address_2": "187 RT 66E",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-8492",
            "fax_number": "860-228-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ROUTE 66E",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-8492",
            "fax_number": "860-228-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAFAREK",
        "first_name": "BERNICE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Alicia F Todzia, RPT
Transforming Health LLC
Korene J Varano, ND
Cheryl A Wesoloskie, RPT

All providers in Columbia, CT · General Practice Dentistry in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.