Active NPI
Michael R Kossey
- Dental Hygienist
- Philadelphia, PA
National Provider Identifier
1659898203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH013418L
- Practice address
- 850 N 11TH St
Philadelphia, PA 19123-1957 - Phone
- (215) 769-1594
- NPI assigned
- Aug 24, 2017
- Last updated
- Aug 24, 2017
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH013418L | PA | Primary |
Addresses
Primary practice location
850 N 11TH St
Philadelphia, PA 19123-1957
Mailing address
292 Holstein Road
Gulph Mills, PA 19428
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 |
|---|---|---|---|
| DH013418L | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1659898203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 HOLSTEIN ROAD",
"city": "GULPH MILLS",
"state": "PA",
"postal_code": "19428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N 11TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191231957",
"telephone_number": "215-769-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSSEY",
"first_name": "MICHAEL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH013418L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.