John S. Kowalczyk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23625 Issued in NY

Practice address

21 Hopper St
Utica, NY 13501-3507

Phone

(315) 735-6502

Fax

(315) 797-1883

NPI assigned

Dec 30, 2006

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750447892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOPPER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013507",
            "telephone_number": "315-735-6502",
            "fax_number": "315-797-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOPPER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013507",
            "telephone_number": "315-735-6502",
            "fax_number": "315-797-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "JOHN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "23625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshan Kothari, M.D.
• Jagdish R Kothari, D.D.S.
• Jehangir Keki Kotwal, MD
• Julieanne Koury, M.S. ED., CCC-SLP
• Liliya A Kovalevich, LMSW
• Lauren L Kozak, PT
• Taylor Kozlowski, PHARMD
• Bruce Kraeger, CASAC-II
• Aishwarya Krishnaiah, M.D.
• Megan Krol, PHYSICAL THERAPIST

• General Practice Dentistry in Utica, NY
• Providers in Utica, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.