Active NPI
Carolyn Cochran, DMD
- Dentist
- Irondale, AL
National Provider Identifier
1124409776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6188
- Practice address
- 112 Elder St
Irondale, AL 35210-2502 - Phone
- (251) 422-7680
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6188 | AL | Primary |
| General Practice Dentistry | 1223G0001X | 6188 | AL |
Addresses
Primary practice location
112 Elder St
Irondale, AL 35210-2502
Mailing address
112 Elder St
Irondale, AL 35210-2502
Phone (251) 422-7680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6188 | Medicaid | AL |
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 |
|---|---|---|---|
| 6188 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1124409776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ELDER ST",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102502",
"telephone_number": "251-422-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ELDER ST",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352102502",
"telephone_number": "251-422-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "6188",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6188",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6188",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.