Organization Active NPI

Joseph W Cochran DDS PC

  • Dental Clinic/Center
  • South Bend, IN
National Provider Identifier
1275198715
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSEPH W COCHRAN DDS PC
Practice address
915 S Ironwood Dr
South Bend, IN 46615-1613
Phone
(574) 288-5252
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Dr. Joseph Cochran, DDS
Title
President/Owner
Phone
(574) 288-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

915 S Ironwood Dr
South Bend, IN 46615-1613

Mailing address

915 S Ironwood Dr
South Bend, IN 46615-1613
Phone (574) 288-5252

Other identifiers 1

IdentifierTypeStateIssuer
1326060641MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1275198715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151613",
            "telephone_number": "574-288-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466151613",
            "telephone_number": "574-288-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W COCHRAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-288-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326060641",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.