Yonathan Kohanbash, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112365 Issued in CA

Practice address

802 US Highway 491 Ste 802
Gallup, NM 87301-5388

Phone

(505) 862-5018

NPI assigned

Sep 12, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tasker Hatch Rowan LLC

  • Dentist
  • Gallup, NM
  • NPI 1013353127
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1003787151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 WILBUR AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 US HIGHWAY 491 STE 802",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015388",
            "telephone_number": "505-862-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Tiverton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958361",
            "country_code": "US",
            "telephone_number": "310-206-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHANBASH",
        "first_name": "YONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Knappe, MD
• Anthony Carl Knight
• Deborah Ann Knotts, RN
• Holly Ann Knox, M.S. CCC-SLP
• Odette N'Douffou Koffi, RN
• Karen M Kohler, OTRL
• Anthony Edem Kokutse, RN
• Cheryl Kornburger, RN
• Iris R Kovach, CRNA
• Margaret Krick, RN

• General Practice Dentistry in Gallup, NM
• Providers in Gallup, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.