Individual provider Active NPI

Yosreldin Koheil, DDS

  • General Practice Dentistry
  • Colonial Heights, VA
National Provider Identifier
1265725691
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413154 Issued in VA
Practice address
723 S Park Blvd
Suite F
Colonial Heights, VA 23834-3628
Phone
(804) 504-0012
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401413154 VA Primary

Addresses

Primary practice location

723 S Park Blvd
Suite F
Colonial Heights, VA 23834-3628

Mailing address

11720 Trophy Club Dr
Apartment 305-5
Midlothian, VA 23113-1463
Phone (651) 280-7471

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

LicenseStateTypeSpecialty
0401413154VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yosreldin Koheil DDS PLC General Practice Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1265725691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 TROPHY CLUB DR",
            "address_2": "APARTMENT 305-5",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131463",
            "telephone_number": "651-280-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S PARK BLVD",
            "address_2": "SUITE F",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343628",
            "telephone_number": "804-504-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHEIL",
        "first_name": "YOSRELDIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.