Organization Active NPI

Lilliana Kostinski DDS PLLC

  • Customized Equipment (DME)
  • Houghton, MI
National Provider Identifier
1447873252
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LILLIANA KOSTINSKI DDS PLLC
Practice address
706 W Sharon Ave Ste 3
Houghton, MI 49931-1970
Phone
(906) 482-8331
Fax
(906) 523-1543
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Dr. Lilliana Guzman Kostinski, DDSNPI 1619189099
Title
Member/Owner
Phone
(906) 482-8331

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
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

706 W Sharon Ave Ste 3
Houghton, MI 49931-1970

Mailing address

706 W Sharon Ave Ste 3
Houghton, MI 49931-1970
Phone (906) 482-8331

National Provider Directory

National Provider Directory

Locations

706 W Sharon Ave
Ste 3
Houghton, MI 49931
Phone (906) 482-8331

Practitioners & affiliated clinicians

Practitioners 1

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1447873252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W SHARON AVE STE 3",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311970",
            "telephone_number": "906-482-8331",
            "fax_number": "906-523-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W SHARON AVE STE 3",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311970",
            "telephone_number": "906-482-8331",
            "fax_number": "906-523-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIANA KOSTINSKI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "KOSTINSKI",
        "authorized_official_first_name": "LILLIANA",
        "authorized_official_middle_name": "GUZMAN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "906-482-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.