NPIMap

Organization Active NPI

Jeffery a Kohler, DDS, PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1033324553
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2797 Issued in AZ
Legal business name
JEFFERY A KOHLER, DDS, PC
Practice address
15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142
Phone
(480) 893-2474
Fax
(480) 893-3192
NPI assigned
May 10, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Dr. Jeffery Arthur Kohler, DDSNPI 1316313661
Title
President and Owner
Phone
(480) 893-2474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2797 AZ Primary

Addresses

Primary practice location

15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142

Mailing address

15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142
Phone (480) 893-2474

National Provider Directory

National Provider Directory

Locations

15215 S 48th St
Ste 190
Phoenix, AZ 85044
Phone (480) 706-0029

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1033324553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-893-2474",
            "fax_number": "480-893-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-893-2474",
            "fax_number": "480-893-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY A KOHLER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "480-893-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.