Individual provider Active NPI

David Karwacki, DDS

  • Endodontics
  • Waterford, MI
National Provider Identifier
1265847339
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901021329 Issued in MI
Practice address
2335 Pontiac Lake Rd Ste D
Waterford, MI 48328-2761
Phone
(248) 683-2300
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021329 MI
Endodontics 1223E0200X 2901021329 MI Primary

Addresses

Primary practice location

2335 Pontiac Lake Rd Ste D
Waterford, MI 48328-2761

Mailing address

1442 S Main St
Royal Oak, MI 48067-3249
Phone (248) 568-3733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901021329MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates of Michigan PLLC Endodontics CurrentSince Mar 11, 2025 Accepting new patients
Marvin S. Taylor DDS PC Past Accepting new patients

Locations

2335 Pontiac Lake Rd
Ste D
Waterford, MI 48328
Phone (248) 683-2300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1265847339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673249",
            "telephone_number": "248-568-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 PONTIAC LAKE RD STE D",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282761",
            "telephone_number": "248-683-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARWACKI",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021329",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901021329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.