Active NPI
Nancy Donna Cozzi, D.D.S.
- General Practice Dentistry
- La Grange, IL
National Provider Identifier
1487926101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-021294
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.