Christopher Walter Koterwas, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6583 Issued in MD

Practice address

401 E Pulaski Hwy
Elkton, MD 21921-6067

Phone

(410) 392-3737

Fax

(410) 392-3738

NPI assigned

Mar 28, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christopher W. Koterwas, D.D.S.,P.a.

  • General Practice Dentistry
  • Elkton, MD
  • NPI 1528253176
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902925449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216067",
            "telephone_number": "410-392-3737",
            "fax_number": "410-392-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216067",
            "telephone_number": "410-392-3737",
            "fax_number": "410-392-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERWAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA  #",
            "identifier": "051896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kmart Pharmacy
• Jessica Knowlton, P.T.A.
• Vida Koranteng Adansi, LCP
• Megan R Kornhaus, RD, LDN
• Erin Kosc, LCSW-C
• Sophia Kotliar, M.D.
• Felicia Kriner
• Jessica Lynn Krummel, N.P.
• Bhavna K Kumar, MD
• Jagadeesh S V Kumar, MD

• General Practice Dentistry in Elkton, MD
• Providers in Elkton, MD by specialty
• General Practice Dentistry in Maryland

• 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.