Organization Active NPI

Kowalski Dental, PC

  • Dentist
  • Beverly, MA
National Provider Identifier
1699172643
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KOWALSKI DENTAL, PC
Practice address
39 Broadway
Beverly, MA 01915-4417
Phone
(978) 927-5247
Fax
(978) 922-7369
NPI assigned
Nov 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dawna Kowalski, DMDNPI 1235366121
Title
President
Phone
(978) 927-5247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

39 Broadway
Beverly, MA 01915-4417

Mailing address

PO Box 3182
Beverly, MA 01915-0896
Phone (978) 927-5247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1699172643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3182",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019150896",
            "telephone_number": "978-927-5247",
            "fax_number": "978-922-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BROADWAY",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154417",
            "telephone_number": "978-927-5247",
            "fax_number": "978-922-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOWALSKI DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-927-5247",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.