John Michael Kosmen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4694 Issued in WI

Practice address

9762 West Lake Avenue
Minocqua, WI 54548

Phone

(715) 358-3321

NPI assigned

Dec 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwoods Oral and Maxillofacial Surgery SC

  • Dentist
  • Minocqua, WI
  • NPI 1346460441
  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1679758395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "54548",
            "telephone_number": "715-358-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9762 WEST LAKE AVENUE",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "54548",
            "telephone_number": "715-358-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMEN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33727700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Francis Klister
• Michael H. Knautz, M.D.
• Amy M. Koelling, PA
• Michael Andrew Kolarchek
• Jared Thomas Kort, PA-C
• David William Kozeluh, DDS
• Erin E Kriewald, LPC, SAC
• Jeffrey Kroll, MD
• William W Kronzer, MD
• Lakeland Union High School

• Dentist in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.