Corin Kwasnik, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0160134192 Issued in VT

Practice address

395 Paine Tpke N
Berlin, VT 05602-9157

Phone

(802) 272-6124

NPI assigned

Feb 20, 2023

Last updated

May 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kwasnik Family Dental, LLC

  • General Practice Dentistry
  • Berlin, VT
  • NPI 1427821404
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1790483857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 THERRIAULT HILL RD",
            "city": "WILLIAMSTOWN",
            "state": "VT",
            "postal_code": "056799683",
            "telephone_number": "802-272-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PAINE TPKE N",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029157",
            "telephone_number": "802-272-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIK",
        "first_name": "CORIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160134192",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Kolb Nava, M.D.
• Lise S Kowalski, M.D.
• Karen L Kurrle, MA
• Kwasnik Family Dental, LLC
• Collin Kwasnik, DDS
• Kim A. Ladue, FNP
• Morgan Lamson, NP
• Constance Lanphear, RN
• Daniel Louis Lecours, MD
• Brooke Lefebvre

• General Practice Dentistry in Berlin, VT
• Providers in Berlin, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.