Edward Cohen, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11334 Issued in MA

Practice address

64 Columbus St
Newton Highlands, MA 02461-1439

Phone

(617) 965-3225

Fax

(617) 965-7501

NPI assigned

Mar 27, 2007

Last updated

Jan 15, 2008By the provider in NPPES

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David S. Kim, DMD, PLLC

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  • NPI 1245797851
  NPD (past)
• Edward Walk DMD PC

  • Dentist
  • Newton, MA
  • NPI 1528575727
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1033237896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 EISENHOWER DR",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672430",
            "telephone_number": "781-784-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLUMBUS ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611439",
            "telephone_number": "617-965-3225",
            "fax_number": "617-965-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Brant, M.D.
• Suzanne Brennan-Nathan, LICSW
• Eugene Bubis, ND, LDN
• Benjamin Michael Cabral, PA-C
• Rachel Kolb Chimberg, MSW
• Maureen Anne Connolly, RNC, ANP
• Hailey Crean, MS, RD, CDE
• Direct Health for Women LLC
• East-West Transportation, Inc.
• Tamar Esther Faintuch, LICSW

• Periodontics in Newton Highlands, MA
• Providers in Newton Highlands, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.