NPIMap

Organization Active NPI

Collin Kwasnik, DDS, Inc.

  • Dental Clinic/Center
  • Berlin, VT
National Provider Identifier
1497323901
Registry record updated Jun 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLLIN KWASNIK, DDS, INC.
Practice address
395 Paine Tpke N
Berlin, VT 05602-9157
Phone
(802) 229-0561
NPI assigned
Jun 12, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Collin Kwasnik, DDSNPI 1154958213
Title
Dentist/Owner
Phone
(802) 272-4498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

395 Paine Tpke N
Berlin, VT 05602-9157

Mailing address

395 Paine Tpke N
Berlin, VT 05602-9157
Phone (802) 229-0561

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2021.

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1497323901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PAINE TPKE N",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029157",
            "telephone_number": "802-229-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PAINE TPKE N",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029157",
            "telephone_number": "802-229-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN KWASNIK, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "KWASNIK",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "802-272-4498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.