Organization Active NPI

Barry D Cohen DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dunwoody, GA
National Provider Identifier
1164645792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9914 Issued in GA
Legal business name
BARRY D COHEN DDS PC
Practice address
4721 Chamblee Dunwoody Road
Suite 200 Independence Square
Dunwoody, GA 30338-6000
Phone
(770) 394-0002
Fax
(770) 394-9605
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Barry David Cohen, DDS
Title
President
Phone
(770) 394-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 9914 GA Primary

Addresses

Primary practice location

4721 Chamblee Dunwoody Road
Suite 200 Independence Square
Dunwoody, GA 30338-6000

Mailing address

4721 Chamblee Dunwoody Road
Suite 200 Independence Square
Dunwoody, GA 30338-6000
Phone (770) 394-0002

National Provider Directory

National Provider Directory

Locations

4721 Chamblee Dunwoody Rd
Ste 200
Dunwoody, GA 30338
Phone (770) 394-0002

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164645792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHAMBLEE DUNWOODY ROAD",
            "address_2": "SUITE 200 INDEPENDENCE SQUARE",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386000",
            "telephone_number": "770-394-0002",
            "fax_number": "770-394-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 CHAMBLEE DUNWOODY ROAD",
            "address_2": "SUITE 200 INDEPENDENCE SQUARE",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386000",
            "telephone_number": "770-394-0002",
            "fax_number": "770-394-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D COHEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-394-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "9914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.