NPIMap

Organization Active NPI

Kossak Consulting LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Grosse Pointe Farms, MI
National Provider Identifier
1679856637
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9356 Issued in MI
Legal business name
KOSSAK CONSULTING LLC
Practice address
24 Fair Acres Dr
Grosse Pointe Farms, MI 48236-3102
Phone
(313) 590-4350
Fax
(313) 886-1518
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Zenon John Kossak, DDSNPI 1073565164
Title
Owner
Phone
(313) 590-4350

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9356 MI Primary

Addresses

Primary practice location

24 Fair Acres Dr
Grosse Pointe Farms, MI 48236-3102

Mailing address

24 Fair Acres Dr
Grosse Pointe Farms, MI 48236-3102
Phone (313) 590-4350

National Provider Directory

National Provider Directory

Locations

32316 5 Mile Rd
Livonia, MI 48154
Phone (734) 523-8300

Practitioners & affiliated clinicians

Practitioners 8

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": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1679856637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FAIR ACRES DR",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363102",
            "telephone_number": "313-590-4350",
            "fax_number": "313-886-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FAIR ACRES DR",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363102",
            "telephone_number": "313-590-4350",
            "fax_number": "313-886-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSSAK CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "KOSSAK",
        "authorized_official_first_name": "ZENON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-590-4350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "9356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.