James Robert Kosydar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8559 Issued in FL

Practice address

5200 16TH St N
St Petersburg, FL 33703-2612

Phone

(727) 522-9192

Fax

(727) 522-5898

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 FL

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

• James Kosydar DDS PA

  • Dentist
  • St Petersburg, FL
  • NPI 1710365770
  NPD (past) Authorized official
• Smiles on 16TH PLLC

  • Dentist
  • St Petersburg, FL
  • NPI 1295455210
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134201536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192",
            "fax_number": "727-522-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192",
            "fax_number": "727-522-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSYDAR",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah-Anna Kosko
• Zachary Nathaniel Kossiver, PA-C
• Paul A Kostamo, M.D.
• Martina Kostova, AP
• Sonia Kostova
• Stacey Koszut, M.S., C.G.C
• David Kazimierz Koszyk, PT
• Erick Koszyk, EMT
• Nicholas A Kotch, D.O.
• Amanda Marie Kotolski, PH.D, OTR/L

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• 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.