Michael Kawulok, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010785 Issued in AZ

Practice address

1440 28TH St Ste 4
Boulder, CO 80303-1030

Phone

(303) 442-8625

NPI assigned

Aug 20, 2020

Last updated

Oct 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ted C. Kawulok D.D.S., P.C.

  • Dentist
  • Boulder, CO
  • NPI 1669850608
  NPD (past)
• Ted C. Kawulok, D.D.S.

  dba Whole Family Dentistry

  • Dentist
  • Boulder, CO
  • NPI 1285169623
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1336751213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 28TH ST STE 4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 28TH ST STE 4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031030",
            "telephone_number": "303-442-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWULOK",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seana Benson Katz, DC
• Kimberly Kaufman
• Vyga Kaufmann, PHD
• Ramnik Kaur
• Stephanie Kavon
• Ted C Kawulok, D.D.S.
• Kathryn Kaye, PSY.D.
• Peter S Kaye, M.D., F.A.C.G.
• Carla A Keahey, ACNS, FNP
• Brian William Keating, LPC

• General Practice Dentistry in Boulder, CO
• Providers in Boulder, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.