Nathan Edward Kosiba, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

34870 Issued in TX

Practice address

2901 Cassidy Rd
Fort Bliss, TX 79916-3501

Phone

(404) 791-5962

NPI assigned

Jul 31, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1386052579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 2901 CASSIDY ROAD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "404-791-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CASSIDY RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799163501",
            "telephone_number": "404-791-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIBA",
        "first_name": "NATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "34870",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Kish
• Alec Kissack, LPC
• Kirby Stuart Kjar, DMD
• Seth Klusewitz
• Jordan Elizabeth Kopf, DO
• Thomas Kotnik, MD
• Courtland N'Gwan-Kofi Kouassiaman, MD
• Richard Koval
• Kyler Kozacek, DO
• Tori Kraft

• Prosthodontics in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.