Dennis Bruce Kolarik, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1978 Issued in OH

Practice address

2221 9TH St SW
Canton, OH 44706-1464

Phone

(330) 455-3663

NPI assigned

Apr 7, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Total Living Center Free Clinic

  • Health Service Clinic/Center
  • Canton, OH
  • NPI 1982748414
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1184867160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7344 BARCLAY CT",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012340",
            "telephone_number": "941-351-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447061464",
            "telephone_number": "330-455-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLARIK",
        "first_name": "DENNIS",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kodish
• Chanakya Kodishala, MBBS
• Martha Joann Koehler, LMT
• Margaret A Koenig, RD, LD, CDE
• Richard Alan Kohut, LISW
• Louise Kolarik, M.D.
• Sarah Kolic
• Kaitlyn Christina Kolosionek, DMD
• Peter Kometiani, MD PHD
• Nageswara Rao Kommareddi, M.D.,

• Orthopaedic Surgery Physician in Canton, OH
• Providers in Canton, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.