Gene C Cohen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

012278 Issued in MO

Practice address

15510 Olive Blvd
Ste 120
Chesterfield, MO 63017-0710

Phone

(636) 532-2522

Fax

(636) 532-8282

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

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 MO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gene C Cohen

  • Dentist
  • Chesterfield, MO
  • NPI 1851484760
  NPD (past) Authorized official

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1184952186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "STE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-532-2522",
            "fax_number": "636-532-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "STE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-532-2522",
            "fax_number": "636-532-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GENE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "012278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Coggin, MAC, MDIV, LPC, NCC
• Sherry Lynn Coggin, MAC, LPC
• Darryl S Cohen, DO
• Denise Marie Cohen, R.N
• Faye C. Cohen, M.D.
• Lawrence H. Cohen, D.M.D.
• Christie Marie Cohoon, MPT,DPT
• Michelle Coke-Attewell, AGACNP
• Erin Terese Cole
• Harry O Cole, M.D.

• Dentist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.