Kurt R. Kwiatkowski, DDS, SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KURT R. KWIATKOWSKI, DDS, SC

Doing business as

Kurt R. Kwiatkowski, DDS, SC

Practice address

1200 17TH Ave
Grafton, WI 53024-2004

Phone

(262) 377-0852

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Bella Zaritsky

Title

Director

Phone

(480) 590-3396

Specialties & licenses 1

Addresses

Other names 1

• Kurt R. Kwiatkowski, DDS, SC Doing business as

Locations

Practitioners 1

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

• Kurt R. Kwiatkowski, D.D.S.

  • General Practice Dentistry
  • Grafton, WI
  • NPI 1972529519
  NPD (past)

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1316770670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 17TH AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242004",
            "telephone_number": "262-377-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 17TH AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242004",
            "telephone_number": "262-377-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT R. KWIATKOWSKI, DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-590-3396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kurt R. Kwiatkowski, DDS, SC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kurt R. Kwiatkowski, DDS, SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Kozuch, APNP
• Michael J. Krco, M.D.
• Daniel John Kristl, PT
• Pamela J Krol, MD
• Jennifer A Krueger, NP
• Stephen Morgan Kurtin, MD
• Kurt R. Kwiatkowski, D.D.S.
• James D Larson, M.D.
• Katherine S Laszkiewicz, PA-C
• Shanna Lehman

• General Practice Dentistry in Grafton, WI
• Providers in Grafton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.