Active NPI
Brian P Cohen, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Boca Raton, FL
National Provider Identifier
1508964263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN0007834
- Practice address
- 9250 Glades Rd Ste 208
Boca Raton, FL 33434-3958 - Phone
- (561) 488-8898
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN0007834 | FL | Primary |
Addresses
Primary practice location
9250 Glades Rd Ste 208
Boca Raton, FL 33434-3958
Mailing address
9250 Glades Rd Ste 208
Boca Raton, FL 33434-3958
Phone (561) 488-8898
Other practice location 1
2500 W Lake Mary Blvd Ste 106
Lake Mary, FL 32746-3501
Phone (407) 328-6411
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0007834 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Past | Accepting new patients | |
| Coast Florida P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lake Mary, FL
- NPI 1457927865
-
- Dentist
- Tampa, FL
- NPI 1730287673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1508964263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 GLADES RD STE 208",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343958",
"telephone_number": "561-488-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 GLADES RD STE 208",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334343958",
"telephone_number": "561-488-8898"
}
],
"practiceLocations": [
{
"address_1": "2500 W Lake Mary Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327463501",
"country_code": "US",
"telephone_number": "407-328-6411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "BRIAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN0007834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.