Robert Karl Kwochka, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007826 Issued in CT

Practice address

239 Naugatuck Ave
Milford, CT 06460-5540

Phone

(203) 876-1838

Fax

(203) 876-0265

NPI assigned

Jan 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 26, 2016 through May 26, 2028

Medicare enrollment (NPD)

Not 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.

• Covey & Kwochka,PC

  • Dentist
  • Milford, CT
  • NPI 1083848584
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265584650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FEATHER LN",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374908",
            "telephone_number": "203-876-1838",
            "fax_number": "203-876-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 NAUGATUCK AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064605540",
            "telephone_number": "203-876-1838",
            "fax_number": "203-876-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOCHKA",
        "first_name": "ROBERT",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE DENTAL LICENSE",
            "identifier": "007826",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Krusinski, ATC
• Edward J Kudej, D.C.
• Yvonne Shaffer Kull, APRN
• Anupama Kurra, M.D.
• Pamela Laurie Kwittken, MD
• Jacob Randall Labauve, D.D.S.
• Arlene N Lacerenza, LMFT
• Kaitlyn Lafferty, M.S.,CCC-SLP
• Amit Lahav, MD
• Victoria Rose Lakic, MSOT, OTR/L

• General Practice Dentistry in Milford, CT
• Providers in Milford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.