Michael Kowal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39181 Issued in NY

Practice address

139 Remsen St
Suite 1
Cohoes, NY 12047

Phone

(518) 237-3642

Fax

(518) 237-8159

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1184773525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 REMSEN ST STE 1",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472839",
            "telephone_number": "518-237-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 REMSEN ST",
            "address_2": "SUITE 1",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-237-3642",
            "fax_number": "518-237-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "39181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NEWY",
            "identifier": "000460416001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiersten Rose Kennedy, MD
• Seigie Kennedy, PHD
• Elizabeth Ketterer
• Sandra Sue Kipp
• Wendy M Kolakowski, MS, CCC-SLP
• Brenda Dee Kozlowski, COTA
• Jerry Kriss, LMHC, CASAC
• Shanah Krug, LC
• Alekhya Kunaparaju, DO
• Ralph Anthony La Casio, OTRL

• Dentist in Cohoes, NY
• Providers in Cohoes, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.