Active NPI
John Cohen, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lennox, CA
National Provider Identifier
1154492379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 40423
- Practice address
- 10823 Hawthorne Blvd Ste a
Lennox, CA 90304-4322 - Phone
- (818) 786-6000
- Fax
- (818) 786-8820
- NPI assigned
- Nov 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40423 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 40423 | CA | Primary |
Addresses
Primary practice location
10823 Hawthorne Blvd Ste a
Lennox, CA 90304-4322
Mailing address
10823 Hawthorne Blvd Ste a
Lennox, CA 90304-4322
Phone (818) 786-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B40423-01 | Other | CA | DENTICAL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201008000780 | CA | Practitioner - Oral Surgery | 0143648881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40423 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Cohen D D S Dental Corporation | Current | Accepting new patients | |
| John Cohen, DDS Dental Corp | Dentist | Past | Accepting new patients |
| Goel & Cohen Dental Corpration | Dentist | Past | Accepting new patients |
| John Cohen, DDS Dental Corp | Dentist | Past | Accepting new patients |
| Goel & Cohen Dental Corporation | Dentist | Past | Accepting new patients |
Locations
10823 Hawthorne Blvd
Ste A
Inglewood, CA 90304
Phone (310) 412-8013
104 W Anaheim St
Ste C
Wilmington, CA 90744
Phone (310) 830-3452
Organizations & group practices 5
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.
-
- Dental Clinic/Center
- Lennox, CA
- NPI 1366686214
-
- Dentist
- Van Nuys, CA
- NPI 1194111740
-
- Dentist
- Norwalk, CA
- NPI 1275920332
-
- Dentist
- Torrance, CA
- NPI 1013399146
-
- Dentist
- Fallbrook, CA
- NPI 1881076479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1154492379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10823 HAWTHORNE BLVD STE A",
"city": "LENNOX",
"state": "CA",
"postal_code": "903044322",
"telephone_number": "818-786-6000",
"fax_number": "818-786-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10823 HAWTHORNE BLVD STE A",
"city": "LENNOX",
"state": "CA",
"postal_code": "903044322",
"telephone_number": "818-786-6000",
"fax_number": "818-786-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40423",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "40423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL PROVIDER NUMBER",
"identifier": "B40423-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lennox, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.