Organization Active NPI

Brian C Cogbill DDS Prof Corp

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1043302904
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIAN C COGBILL DDS PROF CORP
Practice address
622 West Duarte Road
Suite 201
Arcadia, CA 91007-9271
Phone
(626) 446-3153
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Carl Cogbill, DDS
Title
President Dentist
Phone
(626) 446-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

622 West Duarte Road
Suite 201
Arcadia, CA 91007-9271

Mailing address

622 West Duarte Road
Suite 201
Arcadia, CA 91007-9271
Phone (626) 446-3153

National Provider Directory

National Provider Directory

Locations

622 W Duarte Rd
Ste 201
Arcadia, CA 91007
Phone (626) 446-3153

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043302904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WEST DUARTE ROAD",
            "address_2": "SUITE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079271",
            "telephone_number": "626-446-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WEST DUARTE ROAD",
            "address_2": "SUITE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079271",
            "telephone_number": "626-446-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C COGBILL DDS PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COGBILL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT DENTIST",
        "authorized_official_telephone_number": "626-446-3153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.