Individual provider Active NPI

Frank W. Kwiatkowski, D.M.D.

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1902935992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029889 Issued in NY
Practice address
1950 Clinton Ave S
Rochester, NY 14618-5620
Phone
(585) 461-4350
Fax
(585) 461-9365
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 029889 NY Primary

Addresses

Primary practice location

1950 Clinton Ave S
Rochester, NY 14618-5620

Mailing address

1950 Clinton Ave S
Rochester, NY 14618-5620
Phone (585) 461-4350

Other identifiers 1

IdentifierTypeStateIssuer
5533FKOtherNYBCBS PROVIDER ID

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
029889NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood Dental Group - Implant and Restoration Group PC General Practice PastSince Jul 1, 2018 Accepting new patients
Elmwood Dental Group - Family, PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902935992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "585-461-4350",
            "fax_number": "585-461-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185620",
            "telephone_number": "585-461-4350",
            "fax_number": "585-461-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "FRANK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "5533FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • 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.