Active NPI
Orest B Kowalsky, DDS
- General Practice Dentistry
- Heath, OH
National Provider Identifier
1730367657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17666
- Practice address
- 572 Industrial Pkwy
Heath, OH 43056-1528 - Phone
- (740) 522-5000
- Fax
- (740) 522-5930
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17666 | OH | Primary |
Addresses
Primary practice location
572 Industrial Pkwy
Heath, OH 43056-1528
Mailing address
572 Industrial Pkwy
Heath, OH 43056-1528
Phone (740) 522-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17666 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1730367657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 INDUSTRIAL PKWY",
"city": "HEATH",
"state": "OH",
"postal_code": "430561528",
"telephone_number": "740-522-5000",
"fax_number": "740-522-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 INDUSTRIAL PKWY",
"city": "HEATH",
"state": "OH",
"postal_code": "430561528",
"telephone_number": "740-522-5000",
"fax_number": "740-522-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKY",
"first_name": "OREST",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "17666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heath, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.