Individual provider Active NPI

Roger Howard Koslen, D.D.S.

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1891971776
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN13329 Issued in FL
Practice address
8801 Tamiami TRL N
Naples, FL 34108-2525
Phone
(239) 594-8108
Fax
(239) 594-7404
NPI assigned
Jan 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN13329 FL
General Practice Dentistry 1223G0001X DN13329 FL Primary

Addresses

Primary practice location

8801 Tamiami TRL N
Naples, FL 34108-2525

Mailing address

8801 Tamiami TRL N
Naples, FL 34108-2525
Phone (239) 594-8108

Other practice location 1

2095 9th St N
Naples, FL 34102-4806
Phone (239) 430-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001440 FL Order and Referring Only - DentistPractitioner - Dentist 8628300480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN13329FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger H. Koslen D.D.S., P.C. Prosthodontics Past Accepting new patients
Coast Dental P.a. Past Accepting new patients
Coast Dental P.a. PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1891971776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525",
            "telephone_number": "239-594-8108",
            "fax_number": "239-594-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082525",
            "telephone_number": "239-594-8108",
            "fax_number": "239-594-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 9th St N",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341024806",
            "country_code": "US",
            "telephone_number": "239-430-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSLEN",
        "first_name": "ROGER",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN13329",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.