Active NPI
Lorene Ann Konopka, DDS
- General Practice Dentistry
- New Milford, CT
National Provider Identifier
1417015546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8236
- Practice address
- 1 Aspetuck Ave
New Milford, CT 06776 - Phone
- (203) 748-5717
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8236 | CT | Primary |
Addresses
Primary practice location
1 Aspetuck Ave
New Milford, CT 06776
Mailing address
36 Padanaram Rd
Dental Associates of CT PC
Danbury, CT 06811
Phone (203) 748-5717
Other names 1
- Dr. Lorene Ann Konopka Colonel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8236 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates of CT PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417015546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 PADANARAM RD",
"address_2": "DENTAL ASSOCIATES OF CT PC",
"city": "DANBURY",
"state": "CT",
"postal_code": "06811",
"telephone_number": "203-748-5717",
"fax_number": "203-748-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ASPETUCK AVE",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "06776",
"telephone_number": "203-748-5717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPKA",
"first_name": "LORENE",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "8236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORENE",
"last_name": "KONOPKA COLONEL",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Milford, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.