Organization Active NPI

Kosten Dental Care, P.C.

  • General Practice Dentistry
  • Collinsville, IL
National Provider Identifier
1760712079
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOSTEN DENTAL CARE, P.C.
Practice address
500 Saint Louis Rd
Collinsville, IL 62234-2437
Phone
(618) 345-6363
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Dr. Kenneth James Kosten
Title
President
Phone
(618) 345-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

500 Saint Louis Rd
Collinsville, IL 62234-2437

Mailing address

500 Saint Louis Rd
Collinsville, IL 62234-2437
Phone (618) 345-6363

National Provider Directory

National Provider Directory

Locations

500 Saint Louis Rd
Collinsville, IL 62234
Phone (618) 345-5011

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1760712079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342437",
            "telephone_number": "618-345-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAINT LOUIS RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622342437",
            "telephone_number": "618-345-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSTEN DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KOSTEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-345-6363",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.