Active NPI
Richard Martin Cohrs, DDS
- General Practice Dentistry
- Covina, CA
National Provider Identifier
1053502344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27257
- Practice address
- 554 West Badillo Street
Covina, CA 91722-3762 - Phone
- (626) 339-4003
- Fax
- (626) 339-7751
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27257 | CA | Primary |
Addresses
Primary practice location
554 West Badillo Street
Covina, CA 91722-3762
Mailing address
554 West Badillo Street
Covina, CA 91722-3762
Phone (626) 339-4003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27257 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1053502344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 WEST BADILLO STREET",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-339-4003",
"fax_number": "626-339-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 WEST BADILLO STREET",
"city": "COVINA",
"state": "CA",
"postal_code": "917223762",
"telephone_number": "626-339-4003",
"fax_number": "626-339-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHRS",
"first_name": "RICHARD",
"middle_name": "MARTIN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.