Michael Kowalik, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

6320 W 79TH St
Burbank, IL 60459-1161

Phone

(708) 599-3333

Fax

(708) 599-1017

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

Yes

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 IL

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

State licenses

Practice roles

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.

• Michael Kowalik DDS LTD

  • General Practice Dentistry
  • Burbank, IL
  • NPI 1982790333
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1174722839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591161",
            "telephone_number": "708-599-3333",
            "fax_number": "708-599-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591161",
            "telephone_number": "708-599-3333",
            "fax_number": "708-599-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALIK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Kim, MD
• Mai Vo Kirwan
• Nahawand Hasan Kishta, APRN-FNP
• Edward George Klus, RPH.
• Kathy Elizabeth Komperda, PHARM.D.
• Roman O Kozyckyj, MD
• Lauren Kropke Buchina, PHARMD
• Grzegorz Krupa, DMD
• Amrendra Kumar
• Harshada Amrendra Kumar, OTR/L

• Dentist in Burbank, IL
• Providers in Burbank, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.