Active NPI
Richard J Osmanski, DDS PC
- General Practice Dentistry
- Crystal Lake, IL
National Provider Identifier
1346415924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019021692
- Legal business name
- RICHARD J OSMANSKI, DDS PC
- Practice address
- 77 E Crystal Lake Ave
Crystal Lake, IL 60014-6171 - Phone
- (815) 459-8650
- Fax
- (815) 455-9503
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Jude Osmanski, DDS
- Title
- Presiden/Owner
- Phone
- (847) 854-7806
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019021692 | IL | Primary |
Addresses
Primary practice location
77 E Crystal Lake Ave
Crystal Lake, IL 60014-6171
Mailing address
6 Laurel Valley CT
Lake in the Hills, IL 60156-5939
Phone (847) 854-7806
National Provider Directory
National Provider DirectoryLocations
77 E Crystal Lake Ave
Crystal Lake, IL 60014
Phone (815) 459-8650
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Crystal Lake, IL
- NPI 1629243076
-
- General Practice Dentistry
- Crystal Lake, IL
- NPI 1629186937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1346415924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LAUREL VALLEY CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601565939",
"telephone_number": "847-854-7806",
"fax_number": "847-854-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E CRYSTAL LAKE AVE",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146171",
"telephone_number": "815-459-8650",
"fax_number": "815-455-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J OSMANSKI, DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "OSMANSKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "JUDE",
"authorized_official_title_or_position": "PRESIDEN/OWNER",
"authorized_official_telephone_number": "847-854-7806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019021692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.