Organization Active NPI

Mark H. Kowal, DDS & Vera Andjelkovic, DDS

  • General Practice Dentistry
  • Crown Point, IN
National Provider Identifier
1770767816
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008640 Issued in IN
Legal business name
MARK H. KOWAL, DDS & VERA ANDJELKOVIC, DDS
Practice address
11045 Broadway
Suite C
Crown Point, IN 46307-7473
Phone
(219) 661-1119
Fax
(219) 661-1122
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Vera Andjelkovic, D.D.S.NPI 1730268178
Title
Dentist
Phone
(219) 661-1119

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12008640 IN Primary

Addresses

Primary practice location

11045 Broadway
Suite C
Crown Point, IN 46307-7473

Mailing address

11045 Broadway Ave.
Suite C
Crown Point, IN 46307-7474
Phone (219) 661-1119

National Provider Directory

National Provider Directory

Locations

11045 Broadway
Ste C
Crown Point, IN 46307
Phone (219) 661-1119

Practitioners & affiliated clinicians

Practitioners 2

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": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1770767816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 BROADWAY AVE.",
            "address_2": "SUITE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077474",
            "telephone_number": "219-661-1119",
            "fax_number": "219-661-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 BROADWAY",
            "address_2": "SUITE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077473",
            "telephone_number": "219-661-1119",
            "fax_number": "219-661-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. KOWAL, DDS & VERA ANDJELKOVIC, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "ANDJELKOVIC",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-661-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.