R Bruce Cochrane DDS PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6251 Issued in IA

Legal business name

R BRUCE COCHRANE DDS PC

Practice address

1611 1St Ave N
Fort Dodge, IA 50501-4253

Phone

(515) 576-8151

Fax

(515) 576-5670

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Jean M Hoover, RDA

Title

Office Manager

Phone

(515) 576-8151

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

Dr R Bruce Cochrane DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. R. Bruce Cochrane DDS, PC

  • Periodontics
  • Spencer, IA
  • NPI 1205975505
  NPD tax ID
• Dr. R. Bruce Cochrane DDS, PC

  • Periodontics
  • Carroll, IA
  • NPI 1568501229
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bruce Cochrane, DDS

  • Periodontics
  • Fort Dodge, IA
  • NPI 1144309725
  Medicare reassignment

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1336287127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014253",
            "telephone_number": "515-576-8151",
            "fax_number": "515-576-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014253",
            "telephone_number": "515-576-8151",
            "fax_number": "515-576-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BRUCE COCHRANE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-576-8151",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "6251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143495",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143495",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143495",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• QHC Fort Dodge Villa LLC
• QHC Villa Cottages LLC
• Susan Jean Quade, PT
• Tiffany Quail, IADC
• Quick Cabs, LLC
• R. Y. Jacobson, OD
• Rabiner Treatment Center
• Tayler Marie Rasch, ARNP
• Real Optics Inc
• Real Transportation LLC

• Periodontics in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.