Edward George Kornack, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16177 Issued in MA

Practice address

1242 Washington Street
Norwood, MA 02062-4045

Phone

(781) 762-3529

Fax

(781) 762-4102

NPI assigned

Aug 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• Haley Dental Corp

  • Dentist
  • Norwood, MA
  • NPI 1760121842
  NPD (past)
• Norwood Dental Center PC

  • General Practice Dentistry
  • Norwood, MA
  • NPI 1477139699
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275545162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 WASHINGTON STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624045",
            "telephone_number": "781-762-3529",
            "fax_number": "781-762-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 WASHINGTON STREET",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624045",
            "telephone_number": "781-762-3529",
            "fax_number": "781-762-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNACK",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Kluge, OT, OTD, OTR
• Amanda Koller
• Jeff A Kolodney, M.D.
• Jonathan M Kolodny, M.D.
• Tricia L Koosa
• Georgia Kostopoulos, DPT, PT
• Zsuzsa I Kovacs, MD
• Leigh C Kozak, O.D.
• Diane Louise Krakower, LICSW
• Niels C. Krejci, MD

• General Practice Dentistry in Norwood, MA
• Providers in Norwood, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.