OrganizationActive
Douglas J Kosek D.D.S., P.C.
NPI 1992294276 · Dental Clinic/Center · South Bend, IN
Provider details
- NPI number
- 1992294276
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Weber, Office Administrator(574) 232-2992
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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 W Jefferson Blvd
South Bend, IN 46601-1514
Phone: (574) 232-2992
Street-level locationGet directions
Mailing address
413 W Jefferson Blvd
South Bend, IN 46601-1514
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.