Korin Kaczocha, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12955 Issued in TN

Practice address

450 Turner St BLDG 3600
Pensacola, FL 32508-5211

Phone

(850) 505-7400

NPI assigned

Jun 10, 2024

Last updated

Mar 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1629810619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MALTA RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305321",
            "telephone_number": "865-963-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TURNER ST BLDG 3600",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085211",
            "telephone_number": "850-505-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOCHA",
        "first_name": "KORIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin L. Shields MD PA
• Ka'Dira Carey (Trusted Coneections Therapeutic Services)
• Sonja Ann Kabella, COTA
• Patricia Kachur
• Sergey Kachur, M.D.
• David J. Kaderis, D.O.
• Fernando E. Kafie, MD
• Barbara J Kahalley, ST
• Frances Lee Kahler-Ropp, LCSW
• Rachel Kaiser, L.AC, DACOM

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.