Kyle D Koski, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025491 Issued in OH

Practice address

850 Brainard Rd Ste 3
Highland Heights, OH 44143-3145

Phone

(440) 829-4290

NPI assigned

Jun 18, 2018

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1801380324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BRAINARD RD STE 3",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433145",
            "telephone_number": "440-829-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BRAINARD RD STE 3",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433145",
            "telephone_number": "440-829-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "KYLE",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY TYPE 1 (DENTIST)",
            "identifier": "30.025491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kind Keisha Co
• Michelle King, PHARMD
• KLS Counseling LLC
• David Charles Koski, D.M.D
• Kaleigh Koski, DMD
• Koski& Depaul Dental Group
• Roger Alan Kravitz, PT, DPT
• Levels of Vibrating Energy (Levels Of Vibrating Energy Psychiatric Services)
• Anna Li-Conrad, PT, DPT
• Mark Libertin, M.D.

• General Practice Dentistry in Highland Heights, OH
• Providers in Highland Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.