NPIMap

Organization Active NPI

General Reconstructive & Cosmetic Dentistry Inc

Doing business as Paul S Kozy DDS

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1659471605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15171 Issued in OH
Legal business name
GENERAL RECONSTRUCTIVE & COSMETIC DENTISTRY INC
Doing business as
Paul S Kozy DDS
Practice address
3349 Executive Pkwy
Toledo, OH 43606
Phone
(419) 578-2380
Fax
(419) 578-2381
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul S Kozy, DDSNPI 1093970543
Title
Owner
Phone
(419) 578-2380

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15171 OH Primary

Addresses

Primary practice location

3349 Executive Pkwy
Toledo, OH 43606

Mailing address

3349 Executive Pkwy
Toledo, OH 43606
Phone (419) 578-2380

Other names 1

  • Paul S Kozy DDS Doing business as

National Provider Directory

National Provider Directory

Locations

3349 Executive Pkwy
Toledo, OH 43606
Phone (419) 578-2380

Practitioners & affiliated clinicians

Practitioners 1

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659471605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-578-2380",
            "fax_number": "419-578-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-578-2380",
            "fax_number": "419-578-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL RECONSTRUCTIVE & COSMETIC DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOZY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-578-2380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul S Kozy DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

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