Agata Konopka, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49125 Issued in CA

Practice address

3065 Porter St
Suite 107
Soquel, CA 95073-2231

Phone

(831) 464-2424

Fax

(831) 475-1731

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1942408299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 PORTER ST",
            "address_2": "SUITE 107",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732231",
            "telephone_number": "831-464-2424",
            "fax_number": "831-475-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 PORTER ST",
            "address_2": "SUITE 107",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732231",
            "telephone_number": "831-464-2424",
            "fax_number": "831-475-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPKA",
        "first_name": "AGATA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biena Kawasaki Culligan
• Suzanne Kent
• Rama K Khalsa, MFT
• Kristin S King, LMFT
• Sibyl Knight, D.O.
• Tiffany Jean Kostigen Mumper, LMFT
• Suhas G Kshirsagar, BAMS MD(AYU. INDIA)
• Jamie Kuratomi
• Reed Ken Kuratomi, DDS
• Sara Lackner, MD

• General Practice Dentistry in Soquel, CA
• Providers in Soquel, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.