Derek R Cohlmia DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6933 Issued in OK

Legal business name

DEREK R COHLMIA DDS PLLC

Practice address

4301 NW 63Rd St Ste 303
Oklahoma City, OK 73116-1504

Phone

(405) 848-2886

Fax

(405) 848-6664

NPI assigned

Jun 21, 2018

Organization subpart

No

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

Authorized official

Name

Derek CohlmiaNPI 1184154023

Title

Owner

Phone

(405) 848-2886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Derek Ray Cohlmia

  • Dentist
  • Oklahoma City, OK
  • NPI 1184154023
  NPD (past) Authorized official
• Joseph Price Fallin, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1811143894
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1013401066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161504",
            "telephone_number": "405-848-2886",
            "fax_number": "405-848-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST STE 303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161504",
            "telephone_number": "405-848-2886",
            "fax_number": "405-848-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK R COHLMIA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "COHLMIA",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-848-2886"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1184154023",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Deppen, APRN
• Depression Bipolar Support Alliance
• Dept of Health and Human Services PHS Indian Health Service
• Dept of Health and Human Services PHS Indian Health Service
• Steven Augusto Dequevedo, LPC
• Deren Flesher
• Rita Deriks, PAC
• Derrick James Derksen, BA CADC CANDIDATE
• Dermatology Associates Inc
• Dermatology Associates of Oklahoma LLC

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.