Organization Active NPI

Philip Kozlow, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1316100662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHILIP KOZLOW, D.D.S.
Practice address
5050 Quorum Dr
Suite 340
Dallas, TX 75254-7564
Phone
(972) 458-2464
NPI assigned
Jul 8, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Philip KozlowNPI 1023442878
Title
Owner
Phone
(972) 458-2464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

5050 Quorum Dr
Suite 340
Dallas, TX 75254-7564

Mailing address

5050 Quorum Dr
Suite 340
Dallas, TX 75254-7564
Phone (972) 458-2464

National Provider Directory

National Provider Directory

Locations

5050 Quorum Dr
Ste 340
Dallas, TX 75254
Phone (972) 458-2464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316100662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "address_2": "SUITE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564",
            "telephone_number": "972-458-2464",
            "fax_number": "972-458-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DR",
            "address_2": "SUITE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547564",
            "telephone_number": "972-458-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP KOZLOW, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOZLOW",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-458-2464",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.