Organization Active NPI

Richard J Osmanski, DDS PC

  • General Practice Dentistry
  • Crystal Lake, IL
National Provider Identifier
1346415924
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021692 Issued in IL
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

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Richard Jude Osmanski, DDSNPI 1629243076
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.