Richard J Kozan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17252 Issued in OH

Practice address

812 E 185TH St
Cleveland, OH 44119-2702

Phone

(216) 481-9900

NPI assigned

Jan 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudepohl Family Dentistry LLC

  dba Hudepohl Kozan Dentistry

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1942891981
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366598401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E 185TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192702",
            "telephone_number": "216-481-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Jo Kowalsky, M.D.
• Shlomo A Koyfman, M.D.
• Patty Ann Koyl, NP
• Rosemary Kozak
• Elizabeth Anne Kozan, DDS
• Kristen E Kozeniewski, CNP
• James L Kozik, DDS
• Nicholas Benedict Koziol, PA-C
• Brittany Nicole Kozlak
• Cindy Ann Kozlik

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.