Katelyn Rae Cody, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025123 Issued in OH

Practice address

2138 Madison Ave
Toledo, OH 43604-5131

Phone

(419) 241-6215

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1619407996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 RIVERSIDE DRIVE #B417",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432206315",
            "telephone_number": "419-480-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045131",
            "telephone_number": "419-241-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "KATELYN",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Codden, RN
• Carol Ruth Coder, MA, LPCC
• Blake Codora
• Melissa Catherine Coduti
• Alena Starr Cody
• Bryan Coehrs
• Brittany Coffee, APRN
• Conchita Coffey Coffey
• Justin Coffey
• Marcel Coffey

• General Practice Dentistry in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.