Organization Active NPI

Coko LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1437813904
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COKO LLC
Doing business as
Studio 48 Med Spa
Practice address
15215 S. 48TH St. Suite 156
Phoenix, AZ 85044
Phone
(480) 420-8306
Fax
(833) 881-9193
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Ms. Jennifer Andres
Title
Lead Biller
Phone
(480) 500-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

15215 S. 48TH St. Suite 156
Phoenix, AZ 85044

Mailing address

15215 S. 48TH St. Suite 156
Phoenix, AZ 85044
Phone (480) 704-8818

Other names 1

  • Studio 48 Med Spa Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1437813904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 S. 48TH ST. SUITE 156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-704-8818",
            "fax_number": "833-881-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S. 48TH ST. SUITE 156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-420-8306",
            "fax_number": "833-881-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LEAD BILLER",
        "authorized_official_telephone_number": "480-500-1248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio 48 Med Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Studio 48 Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.