Individual provider Active NPI

Michelle Stephanie Cosme, DDS

  • Dentist
  • Lockhart, TX
National Provider Identifier
1376274472
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38495 Issued in TX
Practice address
1906 S Colorado St Ste 110
Lockhart, TX 78644-3906
Phone
(512) 213-1681
NPI assigned
Jun 20, 2022
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38495 TX Primary

Addresses

Primary practice location

1906 S Colorado St Ste 110
Lockhart, TX 78644-3906

Mailing address

4424 Castor St
Houston, TX 77022-3504
Phone (832) 618-8293

Other practice location 1

2400 E Oltorf St
Austin, TX 78741-4563
Phone (512) 822-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38495TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1376274472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 CASTOR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223504",
            "telephone_number": "832-618-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 S COLORADO ST STE 110",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786443906",
            "telephone_number": "512-213-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 E Oltorf St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787414563",
            "country_code": "US",
            "telephone_number": "512-822-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSME",
        "first_name": "MICHELLE",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.