Individual provider Active NPI

Nancy D. Cozzi, D.D.S.

  • General Practice Dentistry
  • La Grange, IL
National Provider Identifier
1972514115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
1400 W 47TH St
Suite 8
La Grange, IL 60525-6141
Phone
(708) 579-1522
Fax
(708) 579-1523
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

1400 W 47TH St
Suite 8
La Grange, IL 60525-6141

Mailing address

1400 W 47TH St
Suite 8
La Grange, IL 60525-6141
Phone (708) 579-1522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 30, 2016 through Aug 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019-021294ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Lebessis DDS PLLC PastSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ncozzi19884@direct.midwestern.edu

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972514115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "SUITE 8",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "SUITE 8",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-579-1522",
            "fax_number": "708-579-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZZI",
        "first_name": "NANCY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.