Michael Cobin

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25691 Issued in CA

Practice address

176 Auburn CT Ste 6
Westlake Village, CA 91362-3692

Phone

(805) 495-4601

Fax

(805) 495-0861

NPI assigned

Jan 4, 2013

Sex

Male

Sole proprietor

No

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 CA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M. Cobin Inc., J Bollinger DDS. Inc. R. Stoops Conejo-Simi Endodontics

  • Endodontics
  • Westlake Village, CA
  • NPI 1861590572
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1124365580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT STE 6",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623692",
            "telephone_number": "805-495-4601",
            "fax_number": "805-495-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 AUBURN CT STE 6",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623692",
            "telephone_number": "805-495-4601",
            "fax_number": "805-495-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBIN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "25691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.