Active NPI
Lilliana Guzman Kostinski, D.D.S.
- General Practice Dentistry
- Houghton, MI
National Provider Identifier
1619189099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901015467
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901015467 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilliana Kostinski DDS PLLC | Current | Accepting new patients | |
| Lilliana Kostinski DDS PLLC | Current | 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.
-
- Customized Equipment (DME)
- Houghton, MI
- NPI 1447873252
-
- Dental Clinic/Center
- Houghton, MI
- NPI 1760057186
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.