Individual provider Active NPI

David John Kowalek, BVMS

  • Veterinarian
  • Carson City, NV
National Provider Identifier
1285090563
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
2396 Issued in NV
Practice address
3389 S Carson St
Carson City, NV 89701-5517
Phone
(775) 883-8238
Fax
(775) 883-8275
NPI assigned
Jan 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 2396 NV Primary
Veterinarian 174M00000X 20750 CA
Veterinarian 174M00000X BV012932 PA

Addresses

Primary practice location

3389 S Carson St
Carson City, NV 89701-5517

Mailing address

3389 S Carson St
Carson City, NV 89701-5517
Phone (775) 883-8238

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
2396NVMDVeterinarian
BV012932PAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1285090563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015517",
            "telephone_number": "775-883-8238",
            "fax_number": "775-883-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015517",
            "telephone_number": "775-883-8238",
            "fax_number": "775-883-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALEK",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "BVMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NV",
            "license": "2396",
            "primary": true
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "20750",
            "primary": false
        },
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "PA",
            "license": "BV012932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.