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DR. ADAM KWIATKOWSKI DMD
NPI 1568073575
Dentist - General Practice in Boulder, CO

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
1200 28TH ST STE 300, BOULDER, CO 80303(303) 417-1644(303) 417-1790 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Aug 13, 2020 (2 updates tracked since 2020).

About Dr. Adam Kwiatkowski Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM KWIATKOWSKI DMD (NPI 1568073575) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (00204396) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568073575
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ADAM KWIATKOWSKICredential: DMD
Location Address1200 28TH ST STE 300Boulder, CO 80303-1756
Mailing Address1200 28th St Ste 300Boulder, CO 80303-1756 · (303) 417-1644 · Fax (303) 417-1790
Phone(303) 417-1644
Fax(303) 417-1790
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 13, 2020
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1568073575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 00204396
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 00204396 (CO)
1200 28TH ST STE 300, Boulder, CO 80303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Kwiatkowski Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820468952
PECOS Enrollment IDI20230105001314
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of foreign body from tissue, accessed beneath the skin, simple 10120
This procedure involves the removal of an external object lodged within your tissue, accessed under the skin. It's deemed 'simple' if the object is easy to reach and doesn't require complex maneuvers or extensive tissue damage for extraction.
26 services12 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAR ESMAILI DDS
Dentist (General Practice)
1200 28TH ST STE 300
BOULDER, CO 80303
Boulder County (303) 417-1644
PEAKVIEW DENTISTRY PLLC
Dentist (General Practice)
1200 28TH ST STE 300
BOULDER, CO 80303
Boulder County (303) 417-1644
JAY E SWARTZWELTER D.D.S.
Dentist (General Practice)
1200 28TH ST STE 300
BOULDER, CO 80303
Boulder County (303) 417-1644
BAHAR ESMAILI DDS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1200 28TH ST STE 300
BOULDER, CO 80303
Boulder County (303) 417-1644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Kwiatkowski's NPI number?

The NPI number for Adam Kwiatkowski is 1568073575. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Adam Kwiatkowski located?

Adam Kwiatkowski practices at 1200 28th St Ste 300, Boulder, CO 80303. The listed phone number is (303) 417-1644.

What is Adam Kwiatkowski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Adam Kwiatkowski enrolled in Medicare?

Yes. Adam Kwiatkowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adam Kwiatkowski was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.