Individual provider Active NPI

Lilliana Guzman Kostinski, D.D.S.

  • General Practice Dentistry
  • Houghton, MI
National Provider Identifier
1619189099
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901015467 Issued in MI
Practice address
706 W Sharon Ave Ste 3
Houghton, MI 49931-1970
Phone
(906) 482-8331
Fax
(906) 523-9993
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901015467 MI 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

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

State licenses

LicenseStateTypeSpecialty
2901015467MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lilliana Kostinski DDS PLLC CurrentSince Dec 31, 2023 Accepting new patients
Lilliana Kostinski DDS PLLC CurrentSince Dec 31, 2023 Accepting new patients

Locations

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1619189099",
    "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": "906-523-9993"
        },
        {
            "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": "906-523-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTINSKI",
        "first_name": "LILLIANA",
        "middle_name": "GUZMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015467",
            "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 25, 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.