Diana Kozlowski, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010837A Issued in IN

Practice address

526 E State Road 32
Westfield, IN 46074-8767

Phone

(317) 896-9600

Fax

(317) 896-9696

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in IN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Whinn Group, LLC

  dba Growing Grins Pediatric Dentistry

  • Pediatric Dentistry
  • Westfield, IN
  • NPI 1932521069
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1194996298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 E STATE ROAD 32",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748767",
            "telephone_number": "317-896-9600",
            "fax_number": "317-896-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 E STATE ROAD 32",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748767",
            "telephone_number": "317-896-9600",
            "fax_number": "317-896-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010837A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201207430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Knight
• Jacob Kobza
• Weldon Kipngeno Koech, LCSW
• Michelle A Koley, M.A., CCC-A
• Sruthi Kowkuntla
• Tyler James Kramer-Stephens
• Krause Dental
• Julie Krodel, OTR
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kroger Limited Partnership I (Kroger Pharmacy)

• Pediatric Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.