Michael Edward Kossak, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3052 Issued in DC

Practice address

1234 19TH St NW
Suite # 308
Washington, DC 20036-2407

Phone

(202) 393-6154

Fax

(202) 293-1914

NPI assigned

Jul 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 DC

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

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.

• Raha Yousefi DDS MPH PLLC

  dba District Perio

  • Periodontics
  • Washington, DC
  • NPI 1356092225
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083644892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE # 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-393-6154",
            "fax_number": "202-293-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 19TH ST NW",
            "address_2": "SUITE # 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362407",
            "telephone_number": "202-393-6154",
            "fax_number": "202-293-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSAK",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Koslosky, RN
• Athanassios Kosmopoulos, MSW
• Lizabeth Ann Kosmopoulos, MSW, PSYD
• Victoria Iyabode Kosoko
• Emma Kosowski
• Thomas Tristan Kossan
• Amy Dee Kossoff, M.D.
• Crista L Kostenko, ATR
• Susan Daye Kostorowski, MSPT
• Antoinette Kotchap

• Periodontics in Washington, DC
• Providers in Washington, DC by specialty
• Periodontics in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.