Zachary F Korwin

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02570400 Issued in NJ

Practice address

4949 Main St
Stratford, CT 06614-1613

Phone

(848) 459-2584

NPI assigned

Jun 12, 2014

Last updated

May 25, 2024By 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 3

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

Specialty

Dentist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sleep Connecticut PLLC

  dba Sleep Stratford

  • Dental Clinic/Center
  • Bethany, CT
  • NPI 1588418677
  Medicare reassignment NPD Authorized official
• Sleep Connecticut PLLC

  dba Sleep Newtown

  • Customized Equipment (DME)
  • Newtown, CT
  • NPI 1497649115

  General Practice

  NPD Authorized official
• Sleep Connecticut PLLC

  dba Sleep Bristol

  • Customized Equipment (DME)
  • Bristol, CT
  • NPI 1184416554

  General Practice

  NPD (past) Authorized official
• Brush & Floss Dental Center LLC

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1962617506
  NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1669886123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMADEO DR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243186",
            "telephone_number": "848-459-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141613",
            "telephone_number": "848-459-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORWIN",
        "first_name": "ZACHARY",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11274",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02570400",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Michelle Kinslow, PA-C
• Bruce Roy Klein, MSW
• Satheesh Komma
• Christina Konopka
• Mark Konopka, D.C.
• Olena Koval, PHARMD
• Kaho Kracke, MA, CCC-SLP
• Elena Krivulin
• Joel W Kunkel, MD
• Gemma G Kwolek, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.