Individual provider Active NPI

James Cohen, DDS

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1639212137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS1911 Issued in TN
Practice address
3337 Kirby Pkwy
Memphis, TN 38115-3704
Phone
(901) 362-1931
Fax
(901) 362-2276
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS1911 TN Primary

Addresses

Primary practice location

3337 Kirby Pkwy
Memphis, TN 38115-3704

Mailing address

3337 Kirby Pkwy
Memphis, TN 38115-3704
Phone (901) 362-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109003244 TN Order and Referring Only - DentistPractitioner - Dentist 8628359445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1911TNMDBehavioral Analyst
DS1911TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate OBGYN, PC PastSince Oct 1, 2016 Accepting new patients
Jayanta K Dirghangi MD PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639212137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153704",
            "telephone_number": "901-362-1931",
            "fax_number": "901-362-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153704",
            "telephone_number": "901-362-1931",
            "fax_number": "901-362-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS1911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.