Dr Sutinder S Kohli PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13107 Issued in FL

Legal business name

DR SUTINDER S KOHLI PA

Practice address

464 S Ridgewood Ave
Suite#1
Daytona Beach, FL 32114-4928

Phone

(386) 255-8866

Fax

(386) 872-7532

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sutinder Singh Kohli, BDS,MS,FAGDNPI 1457572836

Title

Dentist

Phone

(386) 255-8866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sutinder Singh Kohli, BDS,MS,FAGD

  • General Practice Dentistry
  • Daytona Beach, FL
  • NPI 1457572836
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1487867099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 S RIDGEWOOD AVE",
            "address_2": "SUITE#1",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144928",
            "telephone_number": "386-255-8866",
            "fax_number": "386-872-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 S RIDGEWOOD AVE",
            "address_2": "SUITE#1",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144928",
            "telephone_number": "386-255-8866",
            "fax_number": "386-872-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUTINDER S KOHLI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "SUTINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "386-255-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,MS,FAGD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Dowell, APRN
• Chaconna Downs, LCSW
• Cherise Jenelle Doyley, DOULA
• Dr Ejaz Ahmed MD PA
• Dr John P Christensen P a
• Dr. Christina L Sajgo DC LLC
• Dr. Joe E.Miller II Optometrist PA
• Betty Ann Drane, RN
• Tonya Drew
• Christina Drobneck, APRN

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.