Richard Kozlowski Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0001017 Issued in VT

Practice address

1229 Main St
St Johnsbury, VT 05819-2697

Phone

(802) 748-3906

Fax

(802) 748-5456

NPI assigned

Jul 24, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard S. Kozlowski, DDS

  • General Practice Dentistry
  • St Johnsbury, VT
  • NPI 1649896069
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730101957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192697",
            "telephone_number": "802-748-3906",
            "fax_number": "802-748-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192697",
            "telephone_number": "802-748-3906",
            "fax_number": "802-748-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008241",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002004",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Eric Koella, M.D.
• Rhonda Korol, PH.D.
• Jeremy Korsh, M.D.
• Lori L. Koshowski, CRNP
• Courtney Kozlowski, DMD
• KPH Healthcare Services, Inc. (Kinney Drugs #93)
• Dana C Kraus, MD
• Andrea Kroeger
• Adam Luke Kuzmeskus, PHARMD.
• Courtenay Allen Lahey, APRN

• General Practice Dentistry in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.