Michael David Kosdon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0549844 Issued in NY

Practice address

30 Central Park S RM 12D
New York, NY 10019-1653

Phone

(212) 658-1440

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tajik Naminik & Koshki DDS Inc

  • General Practice Dentistry
  • North Hollywood, CA
  • NPI 1710332838
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1003911850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 12D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191653",
            "telephone_number": "212-658-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL PARK S RM 12D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191653",
            "telephone_number": "212-658-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSDON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46848",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0549844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanika Kosarat, M.D.
• Saritha Kosarussavadi, MD
• Devorah Koschitzki
• Merav Koschitzky, MD
• Jessica Kosciewicz, MS, RD
• Jonathan Kose, LCSW
• Miriam K. Kose, M,S,, NCPSYA.
• Neslihan Dilruba Koseoglu
• Eleonora Koshchak, DO
• Mariana Koshlata

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.