Organization Active NPI

Alan J. Kossman, D.D.S., P.C.

Doing business as Belvidere Dental Associates

  • General Practice Dentistry
  • Belvidere, IL
National Provider Identifier
1982734927
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023038 Issued in IL
Legal business name
ALAN J. KOSSMAN, D.D.S., P.C.
Doing business as
Belvidere Dental Associates
Practice address
1935 N State St
Belvidere, IL 61008-1948
Phone
(815) 544-3111
Fax
(815) 547-4569
NPI assigned
Mar 7, 2007
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. Alan J Kossman, D.D.S.NPI 1427212505
Title
Dentist
Phone
(815) 544-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019023038 IL Primary

Addresses

Primary practice location

1935 N State St
Belvidere, IL 61008-1948

Mailing address

1935 N State St
P O Box 637
Belvidere, IL 61008-1948
Phone (815) 544-3111

Other names 1

  • Belvidere Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1935 N State St
Belvidere, IL 61008
Phone (815) 544-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1982734927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N STATE ST",
            "address_2": "P O BOX 637",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081948",
            "telephone_number": "815-544-3111",
            "fax_number": "815-547-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N STATE ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081948",
            "telephone_number": "815-544-3111",
            "fax_number": "815-547-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN J. KOSSMAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "KOSSMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-544-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belvidere Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.