Active NPI
Matthew Cozin, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Francisco, CA
National Provider Identifier
1548679319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 63164
- Practice address
- 1026 Noriega St
San Francisco, CA 94122-4514 - Phone
- (203) 415-6088
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 63164 | CA | Primary |
Addresses
Primary practice location
1026 Noriega St
San Francisco, CA 94122-4514
Mailing address
1026 Noriega St
San Francisco, CA 94122-4514
Phone (203) 415-6088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G02003-01 | Other | CA | DENTICAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1548679319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 NORIEGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224514",
"telephone_number": "203-415-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 NORIEGA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941224514",
"telephone_number": "203-415-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZIN",
"first_name": "MATTHEW",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "63164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "G02003-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.