Dejan Kohut, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29597 Issued in TX

Practice address

1130 E Sonterra Blvd
Ste. 120
San Antonio, TX 78258-4235

Phone

(210) 497-6677

NPI assigned

Jul 21, 2007

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1205036811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E SONTERRA BLVD",
            "address_2": "STE. 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584235",
            "telephone_number": "210-497-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E SONTERRA BLVD",
            "address_2": "STE. 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584235",
            "telephone_number": "210-497-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHUT",
        "first_name": "DEJAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "29597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramtin Kohandel
• Edward Alan Kohl, M.D.
• Alyson Rose Kohler, DO
• Parmish Lalit Kohli, M.D.
• Gloria A Kohn, FNP
• Charlotte A Koiner
• Garritt Kokesh
• Spandana Kolakaleti, M.D.
• Amberlee Jo Kolar, RN
• Karen Kolar, RN

• Periodontics in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.