Kevin P. Cochran DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30020445 Issued in OH

Legal business name

KEVIN P. COCHRAN DDS LLC

Practice address

253 Hampton PL
Springfield, OH 45503-2613

Phone

(937) 399-9777

Fax

(937) 399-9781

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin P Cochran, DDS

Title

Owner

Phone

(937) 399-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1396840112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HAMPTON PL",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032613",
            "telephone_number": "937-399-9777",
            "fax_number": "937-399-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 HAMPTON PL",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032613",
            "telephone_number": "937-399-9777",
            "fax_number": "937-399-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P. COCHRAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-399-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2512712",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Springfield, OH
• Providers in Springfield, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.