Individual provider Active NPI

Ruth G Kosmalski, DDS

  • Dentist
  • Hood River, OR
National Provider Identifier
1104827187
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6327 Issued in OR
Practice address
1835 Belmont Ave
Hood River, OR 97031-1657
Phone
(541) 386-5455
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6327 OR Primary

Addresses

Primary practice location

1835 Belmont Ave
Hood River, OR 97031-1657

Mailing address

4355 Riordan Hill Dr
Hood River, OR 97031-8702
Phone (541) 386-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6327ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1104827187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 RIORDAN HILL DR",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970318702",
            "telephone_number": "541-386-2612",
            "fax_number": "541-386-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BELMONT AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311657",
            "telephone_number": "541-386-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMALSKI",
        "first_name": "RUTH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "6327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.