Kathryn Ruth Kocos, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H5360 Issued in AZ

Practice address

2025 N Pebblecreek Pkwy
Suite a-11
Goodyear, AZ 85395

Phone

(623) 214-9979

Fax

(623) 935-0774

NPI assigned

Aug 27, 2009

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 names 1

• Ms. Kathryn Ruth Lutze Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Suncoast Dental Inc

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1568518587
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1336372184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 W BELL RD",
            "address_2": "STE 2",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85314",
            "telephone_number": "623-584-9910",
            "fax_number": "623-584-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N PEBBLECREEK PKWY",
            "address_2": "SUITE A-11",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-214-9979",
            "fax_number": "623-935-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCOS",
        "first_name": "KATHRYN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LUTZE",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KNK Care LLC
• Danielle Knowlton, MS, CCC-SLP
• Kylee Knutson
• Hailey Quyn Koch, DC
• Suzi Kochar, MD
• Gavin Koenig
• Janet Koger, RPH
• Sarah Maria Kogut, RN
• Lonnie W Kohl, PA
• Brendan Koistinen, DO

• Dental Hygienist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.