Active NPI
Leonard Bruce Kobren, D.D.S.
- Prosthodontics
- White Plains, NY
National Provider Identifier
1205090180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 029919
- Practice address
- 12 Old Mamaroneck Rd Ste 1C
White Plains, NY 10605-2025 - Phone
- (914) 948-7177
- Fax
- (914) 289-1731
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 029919 | NY | Primary |
Addresses
Primary practice location
12 Old Mamaroneck Rd Ste 1C
White Plains, NY 10605-2025
Mailing address
12 Old Mamaroneck Rd Ste 1C
White Plains, NY 10605-2025
Phone (914) 948-7177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029919 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Prosthodontics | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1205090180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OLD MAMARONECK RD STE 1C",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052025",
"telephone_number": "914-948-7177",
"fax_number": "914-289-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 OLD MAMARONECK RD STE 1C",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052025",
"telephone_number": "914-948-7177",
"fax_number": "914-289-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBREN",
"first_name": "LEONARD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "029919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.