Ira Cohen, DMD
Individual provider Active NPI Dentist · Donora, PA
NPI 1124080437 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124080437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS025536 (PA)
- Practice address
- 661 McKean Ave
Donora, PA 15033-1002 - Phone
- (407) 772-5124
- Fax
- (407) 788-3572
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150519001223 | PA | Order and Referring Only - Dentist |
0143540948 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025536 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS025536 | PA | Yes |
Addresses
Primary practice location
661 McKean Ave
Donora, PA 15033-1002
Mailing address
926 Great Pond Dr
Suite 2003
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011197280017 | Medicaid | PA | |
| 0011197280020 | Medicaid | PA | |
| 0011197280026 | Medicaid | PA | |
| 0011197280018 | Medicaid | PA | |
| 0011197280013 | Medicaid | PA | |
| 0011197280014 | Medicaid | PA | |
| 0011197280025 | Medicaid | PA | |
| 0011197280011 | Medicaid | PA | |
| 0011197280023 | Medicaid | PA | |
| 0011197280024 | Medicaid | PA | |
| 0011197280021 | Medicaid | PA | |
| 0011197280008 | Medicaid | PA | |
| 0011197280022 | Medicaid | PA |
Other providers in Donora, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.