Active NPI
Richard S. Kozlowski, DDS
- General Practice Dentistry
- St Johnsbury, VT
National Provider Identifier
1649896069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- St Johnsbury, VT
- NPI 1639795149
-
- General Practice Dentistry
- St Johnsbury, VT
- NPI 1730101957
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.