Organization Active NPI

Kowals Pediatrics, PS

  • Specialist
  • Bellingham, WA
National Provider Identifier
1275797607
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00043293 Issued in WA
Legal business name
KOWALS PEDIATRICS, PS
Practice address
412 Girard St
Bellingham, WA 98225-4004
Phone
(360) 738-7290
Fax
(360) 738-4832
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Daniel W Kowals, MDNPI 1669678207
Title
President/Owner
Phone
(360) 738-7290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00043293 WA Primary

Addresses

Primary practice location

412 Girard St
Bellingham, WA 98225-4004

Mailing address

412 Girard St
Bellingham, WA 98225-4004
Phone (360) 738-7290

Other identifiers 1

IdentifierTypeStateIssuer
7140874MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1275797607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-738-7290",
            "fax_number": "360-738-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 GIRARD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254004",
            "telephone_number": "360-738-7290",
            "fax_number": "360-738-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOWALS PEDIATRICS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "KOWALS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-738-7290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00043293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7140874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.