Active NPI
Kinneret Kozinn, D.D.S.
- Dentist
- Austin, TX
National Provider Identifier
1962795609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26487
- Practice address
- 6500 McNeil Dr
Austin, TX 78729-7720 - Phone
- (512) 331-1477
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26487 | TX | Primary |
| Dentist | 122300000X | 30.024014 | OH |
Addresses
Primary practice location
6500 McNeil Dr
Austin, TX 78729-7720
Mailing address
6500 McNeil Dr
Austin, TX 78729-7720
Phone (512) 331-1477
Other names 1
- Dr. Kinneret Albalak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024014 | OH | MD | Dentist |
| 26487 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1962795609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 MCNEIL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787297720",
"telephone_number": "512-331-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 MCNEIL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787297720",
"telephone_number": "512-331-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZINN",
"first_name": "KINNERET",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "26487",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.024014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KINNERET",
"last_name": "ALBALAK",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.