Organization Active NPI

Cohen-Urdaneta PLLC

  • Dentist
  • Worcester, MA
National Provider Identifier
1558145243
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COHEN-URDANETA PLLC
Practice address
210 Lincoln Street
Worcester, MA 01605
Phone
(508) 793-2122
Fax
(508) 793-1522
NPI assigned
Aug 23, 2023
Organization subpart
Yes
Parent organization
COHEN-URDANETA PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Jeffrey David Cohen, D.D.S.
Title
Managed
Phone
(508) 793-2122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

210 Lincoln Street
Worcester, MA 01605

Mailing address

210 Lincoln Street
Worcester, MA 01605
Phone (508) 793-2122

National Provider Directory

National Provider Directory
Part of
Cohen-Urdaneta PLLC

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1558145243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-793-2122",
            "fax_number": "508-793-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-793-2122",
            "fax_number": "508-793-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN-URDANETA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COHEN-URDANETA PLLC",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGED",
        "authorized_official_telephone_number": "508-793-2122",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.