Organization Active NPI

Kohn & Young, PC

  • Dentist
  • Warren, MI
National Provider Identifier
1386667582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15192 Issued in MI
Legal business name
KOHN & YOUNG, PC
Practice address
28225 Hoover Rd
Warren, MI 48093-5436
Phone
(586) 751-6868
Fax
(586) 751-6264
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark A Kohn, D.D.S.NPI 1689645988
Title
Owner President
Phone
(586) 751-6868

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15192 MI Primary

Addresses

Primary practice location

28225 Hoover Rd
Warren, MI 48093-5436

Mailing address

28225 Hoover Rd
Warren, MI 48093-5436
Phone (586) 751-6868

Other names 1

  • Apple Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070129000638 MI Part B Supplier - Clinic/Group Practice 4385645613 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

28225 Hoover Rd
Warren, MI 48093
Phone (586) 285-9160

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386667582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6868",
            "fax_number": "586-751-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6868",
            "fax_number": "586-751-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHN & YOUNG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "586-751-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "15192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.