Douglas J Kosek D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DOUGLAS J KOSEK D.D.S., P.C.

Practice address

413 W Jefferson Blvd
South Bend, IN 46601-1514

Phone

(574) 232-2992

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Kelly N Weber

Title

Office Administrator

Phone

(574) 232-2992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas John Kosek, D.D.S.

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1780704247
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1992294276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011514",
            "telephone_number": "574-232-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011514",
            "telephone_number": "574-232-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J KOSEK D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "574-232-2992"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald D McGowan, DPM
• Willie Lee Donald, M.D.
• Mary K Donigan, AUD
• Rita Donley, PH.D.
• Amanda Keri Dorman, MA, BCBA
• Douglas J Kosek DDS PC
• David Wood Douglas, D.D.S.
• James Alvin Douglas, D.D.S.
• Kevin Matthew Downey, DDS
• Jacob Andrew Downs

• Dental Clinic/Center in South Bend, IN
• Providers in South Bend, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.