KOZAK ORTHODONTICS, P.C. (NPI# 1164754016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164754016 |
| Entity Type | Organization |
| Organization Name | KOZAK ORTHODONTICS, P.C. |
| Practice Address |
1326 Main St Suite B Antioch IL 60002-2181 |
| Practice Telephone | 8476031682 |
| Mailing Telephone | 8476031682 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | DR. BRYON R KOZAK (ORTHODONTIST) |
| Authorized Official Telephone | 8476031682 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19-025556 | IL | Dental Providers |
| Street Address |
1326 MAIN ST SUITE B |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1487843728 | David Shen Dental Corp | Dentist | 5117 Lone Tree Way, Antioch, CA 94531 | 2007-10-23 |
| 1073657458 | John Esterkyn | Dentist | 2901 Lone Tree Way Ste D, Antioch, CA 94509-4963 | 2007-02-18 |
| 1003479841 | John I Esterkyn Dds Ms Inc | Dentist | 2390 Country Hills Dr, Antioch, CA 94509-7437 | 2019-04-17 |
| 1629511431 | David Barclay Dowling D.d.s. of Utah, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1124561931 | David Barclay Dowling D.d.s. of Texas, P.C. | Dentist | 601 Bakertown Rd, Antioch, TN 37013-2657 | 2016-11-28 |
| 1144596859 | David A Cain | Dentist | 3432 Hillcrest Ave, Suite 225, Antioch, CA 94531-6301 | 2012-03-27 |
| 1659579993 | Frank M. Hann | Dentist | 2225 Buchanan Rd, Suite F, Antioch, CA 94509-4209 | 2007-07-09 |
| 1285765362 | Kristi Wagner | Dentist | 2734 Delta Fair Blvd, Antioch, CA 94509-4100 | 2007-03-08 |
| 1912065038 | Stephen Yang | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-04 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.