Sami Kawas, DDS
Individual provider Active NPI General Practice Dentistry · Waunakee, WI
NPI 1609301027 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1609301027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1001967 (WI)
- Practice address
- 1141 Simon Crestway
Waunakee, WI 53597-1879 - Phone
- (608) 849-5600
- NPI assigned
- Apr 24, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190807003830 | WI | Order and Referring Only - Dentist |
6800123209 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001967 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1001967 | WI | Yes |
Addresses
Primary practice location
1141 Simon Crestway
Waunakee, WI 53597-1879
Mailing address
1141 Simon Crestway
Waunakee, WI 53597-1879
Phone (608) 849-5600
Other providers in Waunakee, WI
- Borka Kalanj
- Matthew Karls
- Shari L. Karls
- Stanley A Karls
- Alison Kavelaris
- Melissa Kietzman
- Ana Killean
- Brooke M.B. Kinney
- Morgan Klein
- Kristen L Knox
All providers in Waunakee, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.