OrganizationActive
Douglas J Kosek DDS PC
NPI 1811064215 · General Practice Dentistry · South Bend, IN
Douglas J Kosek DDS PC is a General Practice Dentistry organization in South Bend, IN (NPI 1811064215).
Provider details
- NPI number
- 1811064215
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Kosek, President(574) 232-2992
- License
- 12009873 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
413 West Jefferson Blvd
South Bend, IN 46601-1514
Phone: (574) 232-2992
Fax: (574) 232-2739
Street-level locationGet directions
Mailing address
413 West Jefferson Blvd
South Bend, IN 46601-1514
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Douglas J Kosek DDS PC's NPI number?
- Douglas J Kosek DDS PC's National Provider Identifier (NPI) is 1811064215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Douglas J Kosek DDS PC?
- Douglas J Kosek DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Douglas J Kosek DDS PC located?
- Douglas J Kosek DDS PC's practice location on file with NPPES is 413 West Jefferson Blvd, South Bend, IN 46601-1514.
- What is Douglas J Kosek DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Douglas J Kosek DDS PC is (574) 232-2992.
- Who is the authorized official for Douglas J Kosek DDS PC?
- The authorized official listed on Douglas J Kosek DDS PC's NPPES record is Douglas Kosek, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Douglas J Kosek DDS PC's NPI active?
- Yes — Douglas J Kosek DDS PC's NPI (1811064215) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.