Organization Active NPI

Nancy Donna Cozzi, D.D.S.

  • General Practice Dentistry
  • La Grange, IL
National Provider Identifier
1487926101
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-021294 Issued in IL
Legal business name
NANCY DONNA COZZI, D.D.S.
Practice address
1400 W 47TH St
La Grange, IL 60525-6141
Phone
(708) 579-1522
Fax
(708) 579-1523
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Nancy Donna Cozzi, D.D.S.
Title
Doctor
Phone
(708) 579-1522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-021294 IL Primary

Addresses

Primary practice location

1400 W 47TH St
La Grange, IL 60525-6141

Mailing address

1400 W 47TH St
La Grange, IL 60525-6141
Phone (708) 579-1522

National Provider Directory

National Provider Directory

Locations

1400 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-3625

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1487926101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY DONNA COZZI, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "COZZI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-579-1522",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.