Alexa Heller Kolbig

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12349 Issued in CT

Practice address

819 Straits Tpke
Middlebury, CT 06762-2847

Phone

(203) 598-7920

NPI assigned

Mar 20, 2017

Last updated

Dec 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

Practice roles

Locations

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.

• Middlebury Smiles PLLC

  • Dental Clinic/Center
  • Middlebury, CT
  • NPI 1962225532
  NPD Authorized official
• Mehran Massoumi DDS PLLC

  • Dental Clinic/Center
  • Cromwell, CT
  • NPI 1598637282
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1356882559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622847",
            "telephone_number": "203-598-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622847",
            "telephone_number": "203-598-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBIG",
        "first_name": "ALEXA",
        "middle_name": "HELLER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Kennon, MD
• Ashley K Kiefer, LCSW
• Anthony Kim, M. D.
• David Clough Knight, MD
• Kelsey Lee Knotts, DNP, APRN
• Leonardi Koliani, M.D.
• T Lynn Krawczyk, LMFT
• Joshua D Kunin, MD
• Scott Kurtzman, MD
• Scott Steven Labianco, BOCPD

• General Practice Dentistry in Middlebury, CT
• Providers in Middlebury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.