Active NPI
Arian Kohi, DDS
- General Practice Dentistry
- Hagerstown, MD
National Provider Identifier
1417434762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401416218
- Practice address
- 4 Cypress St
Hagerstown, MD 21742-3333 - Phone
- (301) 790-2007
- NPI assigned
- Jul 19, 2018
- Last updated
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401416218 | VA | Primary |
Addresses
Primary practice location
4 Cypress St
Hagerstown, MD 21742-3333
Mailing address
1521 Boyd Pointe Way Apt 1910
Tysons, VA 22182-7551
Phone (304) 276-2603
Other practice location 1
4 Cypress St
Hagerstown, MD 21742-3333
Phone (301) 790-2007
Other practice location 2
8270 Greensboro Dr Ste 101
Mc Lean, VA 22102-3835
Phone (703) 214-6570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416218 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Dental Centre P.a. | General Practice | 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.
-
dba Potomac Dental Centre
- General Practice Dentistry
- Hagerstown, MD
- NPI 1457584005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1417434762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 BOYD POINTE WAY APT 1910",
"city": "TYSONS",
"state": "VA",
"postal_code": "221827551",
"telephone_number": "304-276-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CYPRESS ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217423333",
"telephone_number": "301-790-2007"
}
],
"practiceLocations": [
{
"address_1": "4 Cypress St",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217423333",
"country_code": "US",
"telephone_number": "301-790-2007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8270 Greensboro Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Mc Lean",
"state": "VA",
"postal_code": "221023835",
"country_code": "US",
"telephone_number": "703-214-6570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHI",
"first_name": "ARIAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401416218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.