Organization Active NPI

Edwin M. Cochran DDS

Doing business as Dental Associates

  • Dentist
  • Grinnell, IA
National Provider Identifier
1598922262
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5910 Issued in IA
Legal business name
EDWIN M. COCHRAN DDS
Doing business as
Dental Associates
Practice address
902 Park St
Grinnell, IA 50112-2050
Phone
(641) 236-6174
Fax
(641) 236-8784
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Edwin M. Cochran, D.D.S.NPI 1407906662
Title
Owner
Phone
(641) 236-6174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5910 IA Primary

Addresses

Primary practice location

902 Park St
Grinnell, IA 50112-2050

Mailing address

902 Park St
Grinnell, IA 50112-2050
Phone (641) 236-6174

Other identifiers 1

IdentifierTypeStateIssuer
0068486MedicaidIA

Other names 1

  • Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1598922262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PARK ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122050",
            "telephone_number": "641-236-6174",
            "fax_number": "641-236-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PARK ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122050",
            "telephone_number": "641-236-6174",
            "fax_number": "641-236-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN M. COCHRAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-236-6174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "5910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068486",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.