KATHERINE KAZAK DDS
NPI 1962997585
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Katherine Kazak Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE KAZAK DDS (NPI 1962997585) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Kazak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10467
BRONX, NY 10467
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 Katherine Kazak's NPI number?
The NPI number for Katherine Kazak is 1962997585. It was assigned to this individual provider in the NPPES registry on June 26, 2018.
Where is Katherine Kazak located?
Katherine Kazak practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-6039.
What is Katherine Kazak's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katherine Kazak enrolled in Medicare?
Yes. Katherine Kazak is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katherine Kazak was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Katherine Kazak, DDS · NPI 1962997585
Student in an Organized Health Care Education/Training Program provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 26, 2018.
## Identity
- **NPI:** 1962997585 (Entity type: Individual)
- **Enumerated:** June 26, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-6039
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 26, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1962997585) · Data from the CMS NPPES public registry.