Chaz Konrath, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001218-15 Issued in WI

Practice address

1507 N Center St
Beaver Dam, WI 53916-1025

Phone

(920) 763-3957

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1841977220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161025",
            "telephone_number": "920-763-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161025",
            "telephone_number": "920-763-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Shaler Dr",
            "address_purpose": "LOCATION",
            "city": "Waupun",
            "state": "WI",
            "postal_code": "539631783",
            "country_code": "US",
            "telephone_number": "920-345-4127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONRATH",
        "first_name": "CHAZ",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001218-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kluewer Chiropractic, Inc (Kluewer Chiropractic)
• Zoe Jean Knops, APSW
• Karren S Ko, PT, DPT
• Ann K Kolocek, PHD
• Carie Koltz, LMT, BCTMB
• Lyndsey Kontny
• Catherine Ann Koss, DPT
• Eric Russell Kotal, MD
• Christina Koukol, PHARMD, RPH
• Jessamyn Kovacs, O.D.

• General Practice Dentistry in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.