Organization Active NPI

Jeffrey Kozlowski, DDS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cary, NC
National Provider Identifier
1164200846
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JEFFREY KOZLOWSKI, DDS, PLLC
Practice address
103 Parkway Office CT Ste 204
Cary, NC 27518-7429
Phone
(919) 858-0078
NPI assigned
Sep 15, 2023
Organization subpart
Yes
Parent organization
DAVID M SARVER, DMD, MS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Stacy Pope
Title
Project Manager
Phone
(616) 283-8867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

103 Parkway Office CT Ste 204
Cary, NC 27518-7429

Mailing address

5300 Patterson Ave SE Ste 110
Grand Rapids, MI 49512-9758
Phone (616) 283-8867

Other practice location 1

3701 NW Cary Pkwy Ste 200
Cary, NC 27513-8431
Phone (919) 467-9300

Other names 1

  • Ritter & Brogden Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David M Sarver DMD Ms PLLC3 organizations share this tax ID, including this one
Part of
David M Sarver DMD Ms PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Parkway Office Ct
Ste 204
Cary, NC 27518
Phone (919) 858-0078

3701 NW Cary Pkwy
Ste 200
Cary, NC 27513
Phone (919) 467-9300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1164200846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 PATTERSON AVE SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129758",
            "telephone_number": "616-283-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE CT STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-858-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 NW Cary Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138431",
            "country_code": "US",
            "telephone_number": "919-467-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY KOZLOWSKI, DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID M SARVER, DMD, MS, PLLC",
        "enumeration_date": "2023-09-15",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "616-283-8867"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritter & Brogden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.