Alexander a Kogan DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

46626 Issued in CA

Legal business name

ALEXANDER A KOGAN DDS, INC

Doing business as

San Francisco Dental Spa

Practice address

255 King St Ste a
San Francisco, CA 94107-1790

Phone

(415) 644-0644

Fax

(415) 644-0646

NPI assigned

May 2, 2007

Last updated

Mar 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexander A Kogan, DDS

Title

President, Dentist

Phone

(415) 644-0644

Specialties & licenses 1

Addresses

Other names 1

• San Francisco Dental Spa Doing business as

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1427270222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 KING STREET",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071790",
            "telephone_number": "415-644-0644",
            "fax_number": "415-644-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 KING ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071790",
            "telephone_number": "415-644-0644",
            "fax_number": "415-644-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER A KOGAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, DENTIST",
        "authorized_official_telephone_number": "415-644-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.