Joan Elizabeth Kowolik, BDS., LDS RCS.,

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

98000343A Issued in IN

Practice address

1121 W Michigan St
Indiana University School of Dentistry, DS 220G
Indianapolis, IN 46202-5211

Phone

(317) 274-2794

Fax

(317) 278-1438

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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 IN

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

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396879110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W MICHIGAN ST",
            "address_2": "INDIANA UNIVERSITY SCHOOL OF DENTISTRY, DS 220G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025211",
            "telephone_number": "317-274-2794",
            "fax_number": "317-278-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W MICHIGAN ST",
            "address_2": "INDIANA UNIVERSITY SCHOOL OF DENTISTRY, DS 220G",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025211",
            "telephone_number": "317-274-2794",
            "fax_number": "317-278-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWOLIK",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "BDS., LDS RCS.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "98000343A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominik Adam Kowalczyk, MD
• Kara Beth Kowalczyk, MD
• Ashley Lynn Kowalkowski, DO
• Taylor Ann Kowalski, DO
• Edward J Kowlowitz, M.D.
• Elie Kozaily, MD
• Steven Nicklaus Kozakiewicz
• Dawn K Kozarian, NCC, LMHC
• Evan Edward Kozienski, DO
• Brittaney Danielle Kozlovic, LCSW

• Pediatric Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.