David Wayne Kostohryz Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22483 Issued in TX

Practice address

2629 Albans Rd
Houston, TX 77005-1307

Phone

(832) 489-0242

NPI assigned

Nov 5, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 13, 2014 through Mar 13, 2028

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.

• Highland Park Oral and Maxillofacial Surgery PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dallas, TX
  • NPI 1891673240
  NPD Authorized official
• P Grewal DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino Hills, CA
  • NPI 1225903560
  NPD
• Williams, Scheideman & Runyon, DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1801913207
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1083894224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 ALBANS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 ALBANS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051307",
            "telephone_number": "832-489-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOHRYZ",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kostan
• Toni Paola Kostecki, PHD
• Stefan Kostelyna
• Thomas Richard Kosten, MD
• Ann Kostenbauer, PT, DPT
• Murali M Kosuri, MD
• Sruthi Kosuru
• Amanda Lynn Koszewski
• Kota Me Patates Dba Ruby's Wig Salon (Ruby's Wig Salon)
• Tanya Kotack

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.