DR. EWA KONOPKA (NPI# 1285844852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285844852 |
| Entity Type | Individual |
| Full Name | DR. EWA KONOPKA |
| Credential | DDS |
| Practice Address |
21038 Calistoga St. Middletown CA 95461-1124 |
| Mailing Address |
Po Box 1124 Middletown CA 95461-1124 |
| Practice Telephone | 7079872773 |
| Practice Fax Number | 7079870688 |
| Mailing Telephone | 7079872773 |
| Mailing Fax Number | 7079870688 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
45896 | CA | Dental Providers |
| Street Address |
21038 CALISTOGA ST. |
| City | MIDDLETOWN |
| State | CA |
| Zip Code | 95461-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114137775 | Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| 1700096377 | Ian P. Van Zyl | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1285952929 | Deidre Anne O'malley | Acupuncturist | 21128 Calistoga St., Suite A, Middletown, CA 95461 | 2010-05-05 |
| 1760502868 | Laura Goates Hobson | Acupuncturist | 10685 Sycamore Road, Loch Lomond, CA 95461 | 2007-03-30 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1417027319 | Sheila Safarian | Dentist | 21128 Calistoga Road, #0123, Middletown, CA 95461 | 2006-11-08 |
| 1972593788 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 21337 Bush St, Middletown, CA 95461 | 2005-10-24 |
| 1194154377 | Kate Newman | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-11-07 |
| 1770911745 | Lynn Jordan | Registered Nurse | 21337 Bush Street, Middletown, CA 95461 | 2013-10-29 |
| 1699102004 | Daylen Cecil Roberts | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-09-30 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| Find all providers in zip 95461 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740492560 | Lawrence B Gelb | Dentist | 535 Saybrook Rd., Middletown, CT 06457 | 2007-05-04 |
| 1598987794 | Neal Lehrman | Dentist | 450 E Main St, Middletown, NY 10940-2577 | 2007-05-03 |
| 1184712374 | Donald L. Magidson | Dentist | 210 E Main St, Middletown, NY 10940-4038 | 2006-10-11 |
| 1801853544 | Walter W Sepe | Dentist | 477 E Main Rd, Middletown, RI 02842-5202 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 95461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.