Michael J Konzela, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11296 Issued in FL

Practice address

1501 Corporate Dr
Suite140
Boynton Beach, FL 33426-6600

Phone

(561) 364-8700

Fax

(561) 364-1816

NPI assigned

Jun 4, 2013

Last updated

Jun 4, 2013By 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 FL

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

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.

• Devshil P.a.

  dba Riverwalk Dental Group - Boynton

  • Dentist
  • Boynton Beach, FL
  • NPI 1548713423
  NPD (past)
• Michael J. Konzela, D.D.S., P.a.

  • Dental Clinic/Center
  • Boynton Beach, FL
  • NPI 1154402428
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1417394198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR",
            "address_2": "SUITE140",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-364-8700",
            "fax_number": "561-364-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR",
            "address_2": "SUITE140",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-364-8700",
            "fax_number": "561-364-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZELA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blythe Kolb, PTA
• Gila Kolodny, MHC, LSP
• Yitzchok Kolodny, PT
• Kathryn E Kolovani-Tumminia, DMD
• Julie Konowitz Sirkin, MD
• Victor S Koo, M.D.
• Rebecca Koontz
• Joyce Alice Kopelman, OTR
• Christina Kopingon, ARNP, FNP-BC, CNM
• Daniel James Kordas, FNP-C

• General Practice Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.