Individual provider Active NPI

Alexander Donald Korwek, D.D.S.

  • General Practice Dentistry
  • Watertown, NY
National Provider Identifier
1285600254
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038800-1 Issued in NY
Practice address
19436 Howell Dr Ste C
Watertown, NY 13601-6459
Phone
(315) 681-6697
Fax
(315) 221-4374
NPI assigned
Feb 28, 2006
Last updated
Oct 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038800-1 NY Primary

Addresses

Primary practice location

19436 Howell Dr Ste C
Watertown, NY 13601-6459

Mailing address

19436 Howell Drive, Suite C
Watertown, NY 13601
Phone (315) 681-6697

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
038800-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1285600254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19436 HOWELL DRIVE, SUITE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-681-6697",
            "fax_number": "315-221-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19436 HOWELL DR STE C",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016459",
            "telephone_number": "315-681-6697",
            "fax_number": "315-221-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORWEK",
        "first_name": "ALEXANDER",
        "middle_name": "DONALD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.