Individual provider Active NPI

Jeffery Arthur Kohler, D.D.S.

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1316313661
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2797 Issued in AZ
Practice address
15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142
Phone
(480) 893-2474
Fax
(480) 893-3192
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2797 AZ Primary

Addresses

Primary practice location

15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142

Mailing address

15215 S 48TH St
Suite 190
Phoenix, AZ 85044-9142
Phone (480) 893-2474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817000140 AZ Order and Referring Only - DentistPractitioner - Dentist 6800101106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2797AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery a Kohler, DDS, PC Dentist 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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1316313661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-893-2474",
            "fax_number": "480-893-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449142",
            "telephone_number": "480-893-2474",
            "fax_number": "480-893-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "JEFFERY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.