Individual provider Active NPI

Justin Tyler Kosar, DMD

  • General Practice Dentistry
  • Tallmadge, OH
National Provider Identifier
1225616881
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026865 Issued in OH
Practice address
60 Metric Dr
Tallmadge, OH 44278-2337
Phone
(330) 633-9510
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026865 OH Primary

Addresses

Primary practice location

60 Metric Dr
Tallmadge, OH 44278-2337

Mailing address

60 Metric Dr
Tallmadge, OH 44278-2337
Phone (330) 633-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.026865OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Kosar DMD LLC Current Accepting new patients

Locations

60 Metric Dr
Tallmadge, OH 44278
Phone (330) 633-9510

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1225616881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 METRIC DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782337",
            "telephone_number": "330-633-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 METRIC DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782337",
            "telephone_number": "330-633-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAR",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.