Sean K Cochran, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012086 Issued in GA

Practice address

3777 Highway 129 S
Cleveland, GA 30528-5823

Phone

(706) 219-0033

Fax

(706) 219-0048

NPI assigned

Sep 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• O.W.a. Management Services, LLC

  • Dentist
  • Cleveland, GA
  • NPI 1417128497
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1316049232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 HIGHWAY 129 S",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305285823",
            "telephone_number": "706-219-0033",
            "fax_number": "706-219-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 HIGHWAY 129 S",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305285823",
            "telephone_number": "706-219-0033",
            "fax_number": "706-219-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "SEAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470842272A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470842272D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chattahoochee Dental Associates
• Robert Lucien Clark, L.P.C., N.C.C.
• William Raymond Clark
• Cleveland Drug Co Inc
• James Wesley Cobb, FNP
• Gretchen Conibear, PHARM.D
• Chalet Alet Conrad, PHARM. D.
• Haley Emmary Cook
• Brittany N Cooper, M.S.
• Cornerstones Counseling Center

• All providers in Cleveland, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.