Individual provider Active NPI

Katarzyna J Plower

  • Dentist
  • Viera, FL
National Provider Identifier
1942594627
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19332 Issued in FL
Practice address
6709 Colonnade Ave
Viera, FL 32940-6118
Phone
(321) 433-1022
Fax
(321) 433-1032
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19332 FL Primary

Addresses

Primary practice location

6709 Colonnade Ave
Viera, FL 32940-6118

Mailing address

6709 Colonnade Ave
Viera, FL 32940-6118
Phone (321) 433-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150717001802 FL Order and Referring Only - DentistPractitioner - Dentist 3476866534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19332FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1942594627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 COLONNADE AVE",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406118",
            "telephone_number": "321-433-1022",
            "fax_number": "321-433-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 COLONNADE AVE",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406118",
            "telephone_number": "321-433-1022",
            "fax_number": "321-433-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOWER",
        "first_name": "KATARZYNA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

Verify at the official NPI Registry.