NPIMap

Organization Active NPI

Koko Dental Care PLLC

  • General Practice Dentistry
  • Waltham, MA
National Provider Identifier
1366152191
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KOKO DENTAL CARE PLLC
Practice address
570 Moody St Apt 2
Waltham, MA 02453-0520
Phone
(978) 328-4661
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Dr. Haroutioun Kotchinian, D.M.DNPI 1689170417
Title
Owner
Phone
(978) 328-4661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

570 Moody St Apt 2
Waltham, MA 02453-0520

Mailing address

127 Russell St Unit 2
Waltham, MA 02453-3530
Phone (978) 328-4661

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1366152191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RUSSELL ST UNIT 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533530",
            "telephone_number": "978-328-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 MOODY ST APT 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024530520",
            "telephone_number": "978-328-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKO DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "KOTCHINIAN",
        "authorized_official_first_name": "HAROUTIOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-328-4661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.