Alexi Dee Kossi, DDS
Individual provider Active NPI Dentist · Saugus, CA
NPI 1891807962 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891807962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 42659 (CA)
- Practice address
- 26572 Bouquet Canyon Rd
Saugus, CA 91350-2353 - Phone
- (661) 297-8383
- Fax
- (661) 297-8006
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160720001644 | CA | Order and Referring Only - Dentist |
9739472390 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexi Kossi, DDS Inc. | Past | Accepting new patients | |
| Alexki Kossi, DDS Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42659 | CA | Yes |
Addresses
Primary practice location
26572 Bouquet Canyon Rd
Saugus, CA 91350-2353
Mailing address
26572 Bouquet Canyon Rd
Saugus, CA 91350-2353
Phone (661) 297-8383
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B42659-02 | Other | CA | DENTI-CAL |
Other providers in Saugus, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.