Individual provider Active NPI

Evan Joseph Kowalski, DDS

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1427574482
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022434 Issued in MI
Practice address
5901 King Hwy
Kalamazoo, MI 49048-6054
Phone
(269) 344-4443
NPI assigned
Aug 21, 2017
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022434 MI Primary

Addresses

Primary practice location

5901 King Hwy
Kalamazoo, MI 49048-6054

Mailing address

5901 King Hwy
Kalamazoo, MI 49048-6054
Phone (269) 344-4443

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

LicenseStateTypeSpecialty
2901022434MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Solutions of Kalamazoo PLLC Current Accepting new patients
Sleep Solutions of Kalamazoo PLLC Current Accepting new patients
Pro Dental Mi 1 PC PastSince Sep 23, 2024 Accepting new patients
D2 Dental of Michigan Past Accepting new patients

Locations

5901 King Hwy
Kalamazoo, MI 49048
Phone (269) 344-4443

Organizations & group practices 5

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1427574482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486054",
            "telephone_number": "269-344-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 KING HWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490486054",
            "telephone_number": "269-344-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "EVAN",
        "middle_name": "JOSEPH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.