Organization Active NPI

James Kosydar DDS PA

  • Dentist
  • St Petersburg, FL
National Provider Identifier
1710365770
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8559 Issued in FL
Legal business name
JAMES KOSYDAR DDS PA
Practice address
5200 16TH St N
Saint Petersburg, FL 33703-2612
Phone
(727) 522-9192
Fax
(727) 522-5898
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. James R Kosydar, DDSNPI 1134201536
Title
General Dentist DDS
Phone
(727) 522-9192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN8559 FL Primary

Addresses

Primary practice location

5200 16TH St N
Saint Petersburg, FL 33703-2612

Mailing address

5200 16TH St N
Saint Petersburg, FL 33703-2612
Phone (727) 522-9192

National Provider Directory

National Provider Directory

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": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1710365770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192",
            "fax_number": "727-522-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192",
            "fax_number": "727-522-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES KOSYDAR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "KOSYDAR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST DDS",
        "authorized_official_telephone_number": "727-522-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.