Monica Kostro, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29406 Issued in FL

Practice address

2000 S Patrick Dr Ste 1
Indian Harbour Beach, FL 32937-4462

Phone

(321) 773-1000

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• CDPG, P.L.

  • General Practice Dentistry
  • Indian Harbour Beach, FL
  • NPI 1639830490
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1225876113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ORLANDO BLVD",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S PATRICK DR STE 1",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374462",
            "telephone_number": "321-773-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTRO",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "29406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Kaufmann, M.D.
• Kristen Noel Kennerley, A.P.
• Heather Killick, MPT
• Katherine Michelle Kimbrell, OT/L
• Elizabeth Teresa Kondracka, MD
• Jayna Lacko
• Edward V Laibl, OD
• Timothy Corrigan Lang, DDS, MD, PHD
• Laylah Lara, PTA
• Leann J Mandese OD PA

• Dentist in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.