Thomas J Kosick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

031319 Issued in PA

Practice address

3242 S. Main St
Sandy Lake, PA 16145-0487

Phone

(724) 376-7161

NPI assigned

Aug 9, 2005

Last updated

Oct 15, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chandan Dental Associates

  • Dental Clinic/Center
  • Sandy Lake, PA
  • NPI 1427665751
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1104827476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161450487",
            "telephone_number": "724-376-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 S. MAIN ST",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161450487",
            "telephone_number": "724-376-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSICK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "031319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1495660",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah L Gosnell, CRNP
• Jaida Heckman
• Phiphone Inthalangsy, DMD
• Leslie Arthur Jenkins, DMD
• Bethany Sue Kocher
• Diane R Mentch, LPC
• Kishan Patel
• Primary Health Network
• Susan Schwab Ruediger, RPH
• Vikas Setia

• General Practice Dentistry in Sandy Lake, PA
• Providers in Sandy Lake, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.