Walter Kostrzewski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7929 Issued in CT

Practice address

203 Cherry St
Milford, CT 06460-3501

Phone

(203) 876-9887

Fax

(203) 876-7513

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By the provider in NPPES

Sex

Male

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 CT

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Complete Health Dentistry @ Wilton

  dba WiltonDentist.com

  • General Practice Dentistry
  • Wilton, CT
  • NPI 1164319307
  NPD Authorized official

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1649458910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-876-9887",
            "fax_number": "203-876-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-876-9887",
            "fax_number": "203-876-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRZEWSKI",
        "first_name": "WALTER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Komisar, CRNA
• Vanja Kondev, MD
• Julie Konstantino
• Jeffrey H. Kornblut, D.C.
• Alison Kosakowski
• Roman Kowcz, RPH
• Clifford R Kramer, M.D.
• Patricia Kramer
• James G Krantz, DPM
• Angeline Kringel, LCSW

• Dentist in Milford, CT
• Providers in Milford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.