Organization Active NPI

Evan Kowalski DDS PLLC

  • General Practice Dentistry
  • Kalamazoo, MI
National Provider Identifier
1295386688
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EVAN KOWALSKI DDS PLLC
Practice address
5901 King Hwy
Kalamazoo, MI 49048-6054
Phone
(269) 344-4443
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Authorized official

Name
Dr. Evan Kowalski, DDS
Title
Owner
Phone
(810) 623-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5901 King Hwy
Kalamazoo, MI 49048-6054

Mailing address

5901 King Hwy
Kalamazoo, MI 49048-6054
Phone (269) 344-4443

National Provider Directory

National Provider Directory

Locations

5901 King Hwy
Kalamazoo, MI 49048
Phone (269) 344-4443

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1295386688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486054",
            "telephone_number": "269-344-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486054",
            "telephone_number": "269-344-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN KOWALSKI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-623-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.