Organization Active NPI

Christopher W. Koterwas, D.D.S.,P.a.

  • General Practice Dentistry
  • Elkton, MD
National Provider Identifier
1528253176
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6583 Issued in MD
Legal business name
CHRISTOPHER W. KOTERWAS, D.D.S.,P.A.
Practice address
401 E Pulaski Hwy
Elkton, MD 21921-6067
Phone
(410) 392-3737
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mrs. Emilia R Koterwas
Title
Vice President
Phone
(410) 392-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6583 MD Primary

Addresses

Primary practice location

401 E Pulaski Hwy
Elkton, MD 21921-6067

Mailing address

401 E Pulaski Hwy
Elkton, MD 21921-6067
Phone (410) 392-3737

National Provider Directory

National Provider Directory

Locations

401 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 392-3737

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1528253176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216067",
            "telephone_number": "410-392-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216067",
            "telephone_number": "410-392-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W. KOTERWAS, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "KOTERWAS",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-392-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.