Organization Active NPI

Richard S. Kozlowski, DDS

  • General Practice Dentistry
  • St Johnsbury, VT
National Provider Identifier
1649896069
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD S. KOZLOWSKI, DDS
Doing business as
Richard S. Kozlowski, DDS
Practice address
1229 Main St
Saint Johnsbury, VT 05819-2697
Phone
(802) 748-3906
NPI assigned
Jun 22, 2020
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Mrs. Julie Charron
Title
Office Manager
Phone
(802) 748-3906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1229 Main St
Saint Johnsbury, VT 05819-2697

Mailing address

1229 Main St
Saint Johnsbury, VT 05819-2697
Phone (802) 748-3906

Other names 1

  • Richard S. Kozlowski, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

1229 Main St
St Johnsbury, VT 05819
Phone (802) 748-3906

Practitioners & affiliated clinicians

Practitioners 2

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1649896069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192697",
            "telephone_number": "802-748-3906",
            "fax_number": "802-748-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192697",
            "telephone_number": "802-748-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. KOZLOWSKI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "CHARRON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-748-3906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard S. Kozlowski, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.