Stacey Chin Ying Cohen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62672 Issued in CA

Practice address

8920 Wilshire Blvd Ste 410
Beverly Hills, CA 90211-2004

Phone

(310) 652-2360

NPI assigned

Aug 9, 2013

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 19, 2016 through Mar 19, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1154753481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112004",
            "telephone_number": "310-652-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112004",
            "telephone_number": "310-652-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STACEY",
        "middle_name": "CHIN YING",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patric Cohen, DDS
• Robert Hugh Cohen, M.D.
• Sandra E. Cohen, PH.D.
• Shelley R Cohen, MSW LCSW
• Shirah Ariel Cohen
• Stuart Marc Cohen, MD
• Teresa Cohenno
• Jonathan Ross Cole, M.D.
• Robert Cole, MD
• Christine D Collins, MD

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.