Organization Active NPI

Ewelina M Kalinowska Szyszka DDS PA

  • Dentist
  • Clearwater, FL
National Provider Identifier
1457427486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16370 Issued in FL
Legal business name
EWELINA M KALINOWSKA SZYSZKA DDS PA
Doing business as
Dental Health Services
Practice address
1237 S Missouri Ave
Clearwater, FL 33756
Phone
(727) 443-7353
Fax
(727) 443-2144
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ewelina Maria Kalinowska Szyszka, DDS PA
Title
President Owner
Phone
(727) 443-7353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN16370 FL Primary

Addresses

Primary practice location

1237 S Missouri Ave
Clearwater, FL 33756

Mailing address

1237 S Missouri Ave
Clearwater, FL 33756
Phone (727) 443-7353

Other identifiers 2

IdentifierTypeStateIssuer
1634305OtherUNITED CONCORDIA
85642OtherBCBS

Other names 1

  • Dental Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457427486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-443-7353",
            "fax_number": "727-443-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-443-7353",
            "fax_number": "727-443-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWELINA M KALINOWSKA SZYSZKA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALINOWSKA SZYSZKA",
        "authorized_official_first_name": "EWELINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "727-443-7353",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1634305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.