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DR. KORIN KACZOCHA DDS
NPI 1629810619
Dentist in Pensacola, FL

Active since June 10, 2024PECOS Enrolled
450 TURNER ST BLDG 3600, PENSACOLA, FL 32508(850) 505-7400 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Jun 10, 2024 (2 updates tracked since 2024).

About Dr. Korin Kaczocha Dds NPPES

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

DR. KORIN KACZOCHA DDS (NPI 1629810619) is an individual dentist in Pensacola, Florida, licensed in Tennessee (12955) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629810619
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KORIN KACZOCHACredential: DDS
Location Address450 TURNER ST BLDG 3600Pensacola, FL 32508-5211
Mailing Address114 E Malta RdOak Ridge, TN 37830-5321 · (865) 963-8858
Phone(850) 505-7400
Sole ProprietorYes
Enumeration DateJune 10, 2024
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1629810619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 12955
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
450 TURNER ST BLDG 3600, Pensacola, FL 32508
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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 (PECOS)

Dr. Korin Kaczocha Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32508 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 8

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

AKNECA BRUMFIELD
Nurse Practitioner (Family)
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 452-5698
FRED J HARPER DMD
Dentist (Prosthodontics)
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 452-5613
RALSTON RAE TULLOCH JR.
Behavior Technician
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 505-7453
MRS. BRENDA F BARBER RDH
Dental Hygienist
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 452-5660
KRISTINE NICHOLSON RDH
Dental Hygienist
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 452-5600
JASIANA EDWARDS
Behavior Technician
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 505-7453
WALTER BARNETT KING JR. O.D.
Optometrist
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 505-7424
SUZANNE PHLEGAR
Dental Hygienist
450 TURNER ST BLDG 3600
PENSACOLA, FL 32508
Escambia County (850) 452-5600

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 Korin Kaczocha's NPI number?

The NPI number for Korin Kaczocha is 1629810619. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Korin Kaczocha located?

Korin Kaczocha practices at 450 Turner St Bldg 3600, Pensacola, FL 32508. The listed phone number is (850) 505-7400.

What is Korin Kaczocha's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Korin Kaczocha enrolled in Medicare?

Yes. Korin Kaczocha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Korin Kaczocha was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.