Carlos Kose Jr., DDS, MS, PHD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DRP1952 Issued in FL

Practice address

1395 Center Dr RM D2-27
Gainesville, FL 32610-3006

Phone

(352) 273-7957

NPI assigned

Aug 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1508345695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 SW 119TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080052",
            "telephone_number": "352-870-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D2-27",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSE",
        "first_name": "CARLOS",
        "name_suffix": "Jr.",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DRP1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Leimomi Kort, LICENSED PSYCHOLOGIS
• Meghavi Sheth Kosboth, D.O
• Matthew David Kosbth, MD
• Kelly Bliss Koscso, D.M.D.
• Kevin Christopher Koscso, D.M.D.
• Maureen Kosik
• Wayne Koszty, PHARM.D.
• Shailee Manish Kothari
• Sonya Kothari, CCC-SLP
• Anupa Kotipoyina

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.