Individual provider Active NPI

Charles Walowitz, DDS

  • Prosthodontics
  • Brooklyn, NY
National Provider Identifier
1891195541
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
8211980 Issued in NY
Practice address
1 Grand Army PLZ
Apt 5-C
Brooklyn, NY 11238-5611
Phone
(410) 336-1419
NPI assigned
Aug 31, 2014
Last updated
Aug 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 8211980 NY Primary

Addresses

Primary practice location

1 Grand Army PLZ
Apt 5-C
Brooklyn, NY 11238-5611

Mailing address

1 Grand Army PLZ
Apt 5-C
Brooklyn, NY 11238-5611
Phone (410) 336-1419

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

LicenseStateTypeSpecialty
8211980NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cosmetic and Implant Dentistry of Maryland, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1891195541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRAND ARMY PLZ",
            "address_2": "APT 5-C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385611",
            "telephone_number": "410-336-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND ARMY PLZ",
            "address_2": "APT 5-C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385611",
            "telephone_number": "410-336-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALOWITZ",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-31",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "8211980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; 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.