Individual provider Active NPI

Javana Cosner, D.D.S.

  • Dentist
  • Chelsea, MI
National Provider Identifier
1114283223
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020830 Issued in MI
Practice address
901 Taylor St
Ste. a
Chelsea, MI 48118-2301
Phone
(734) 475-7303
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020830 MI Primary

Addresses

Primary practice location

901 Taylor St
Ste. a
Chelsea, MI 48118-2301

Mailing address

901 Taylor St
Ste. a
Chelsea, MI 48118-2301

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 31, 2018 through May 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901020830MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1114283223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TAYLOR ST",
            "address_2": "STE. A",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TAYLOR ST",
            "address_2": "STE. A",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481182301",
            "telephone_number": "734-475-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSNER",
        "first_name": "JAVANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.