NPIMap

Organization Active NPI

Cle Oral & Maxillofacial Surgery Westlake - Jeffrey W. Kosman, D.D.S.,

Doing business as CLE Oral & Maxillofacial Surgery Westlake

  • Oral and Maxillofacial Surgery (Dentist)
  • Westlake, OH
National Provider Identifier
1639536840
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17516 Issued in OH
Legal business name
CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE - JEFFREY W. KOSMAN, D.D.S.,
Doing business as
CLE Oral & Maxillofacial Surgery Westlake
Practice address
28871 Center Ridge Rd
Suite 104
Westlake, OH 44145-5271
Phone
(440) 871-2201
Fax
(440) 871-2204
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Jeffrey W. Kosman, D.D.S.NPI 1245398841
Title
Owner
Phone
(440) 934-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 17516 OH Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 30024394 OH
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 30020221 OH

Addresses

Primary practice location

28871 Center Ridge Rd
Suite 104
Westlake, OH 44145-5271

Mailing address

28871 Center Ridge Rd
Suite 104
Westlake, OH 44145-5271
Phone (440) 871-2201

Other names 1

  • CLE Oral & Maxillofacial Surgery Westlake Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1639536840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28871 CENTER RIDGE RD",
            "address_2": "SUITE 104",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455271",
            "telephone_number": "440-871-2201",
            "fax_number": "440-871-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28871 CENTER RIDGE RD",
            "address_2": "SUITE 104",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455271",
            "telephone_number": "440-871-2201",
            "fax_number": "440-871-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE - JEFFREY W. KOSMAN, D.D.S.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "KOSMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "17516",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30024394",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30020221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLE Oral & Maxillofacial Surgery Westlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.