Active NPI
David E Kosiorek, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Longmeadow, MA
National Provider Identifier
1619967262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 15133
- Practice address
- 123 Dwight Rd
Longmeadow, MA 01106-1748 - Phone
- (413) 567-1300
- Fax
- (413) 525-3745
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 15133 | MA | Primary |
Addresses
Primary practice location
123 Dwight Rd
Longmeadow, MA 01106-1748
Mailing address
123 Dwight Rd
Longmeadow, MA 01106-1748
Phone (413) 567-1300
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 |
|---|---|---|---|
| 15133 | MA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1619967262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-1300",
"fax_number": "413-525-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 DWIGHT RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061748",
"telephone_number": "413-567-1300",
"fax_number": "413-525-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSIOREK",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "15133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.