Gemma G Kwolek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8734 Issued in CT

Practice address

4949 Main St
Stratford, CT 06614-1613

Phone

(203) 378-9500

Fax

(203) 386-9057

NPI assigned

Jul 4, 2006

Sex

Female

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Maryland at Baltimore School of Dentistry, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Kushner Auburn PLLCGroup PAC ID 7719370048, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Kushner Auburn PLLC

  • Dentist
  • Silverdale, WA
  • NPI 1285410324
  Medicare reassignment Care Compare group NPD
• Kushner Auburn PLLC

  • Dentist
  • Bellevue, WA
  • NPI 1518731710
  NPD
• Kushner Auburn PLLC

  • Dentist
  • Federal Way, WA
  • NPI 1578221255
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912937129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141613",
            "telephone_number": "203-378-9500",
            "fax_number": "203-386-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141613",
            "telephone_number": "203-378-9500",
            "fax_number": "203-386-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOLEK",
        "first_name": "GEMMA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary F Korwin
• Olena Koval, PHARMD
• Kaho Kracke, MA, CCC-SLP
• Elena Krivulin
• Joel W Kunkel, MD
• Karen Marie Laconte, ND
• James Laiso, PT, DPT, CSCS
• Sabrina Lamour, PA-C
• Sunamita Lang
• Nicole Rose Lara, LCSW

• General Practice Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• General Practice Dentistry in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.