Joseph Anthony Kososki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12853 Issued in TX

Practice address

400 Maplelawn Drive
Suite 102
Plano, TX 75075-5744

Phone

(972) 235-8900

Fax

(469) 453-3009

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1063507069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAPLELAWN DRIVE",
            "address_2": "SUITE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755744",
            "telephone_number": "972-235-8900",
            "fax_number": "469-453-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLELAWN DRIVE",
            "address_2": "SUITE 102",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755744",
            "telephone_number": "972-235-8900",
            "fax_number": "469-453-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOSKI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kore Physio PLLC
• Philip David Korenman, M.D.
• Jaryl G Korpinen, DPM
• Courtney Kos, LMFT
• Ligil Varghese Koshy, PHARMD
• Shana Kostick
• Christine Kosumba
• Thomas Adam Kosztowski, MD
• Sai Soumya S. Kota, M.D.
• Bilyana Kotseva-Kostova

• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.