Active NPI
Johnathan Kohles, DDS
- Dentist
- Colorado Springs, CO
National Provider Identifier
1659260305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18639
- Practice address
- 2280 Hogan St
Colorado Springs, CO 80913-4408 - Phone
- (719) 526-5400
- NPI assigned
- Jun 30, 2025
- Last updated
- Jun 30, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18639 | MD | Primary |
Addresses
Primary practice location
2280 Hogan St
Colorado Springs, CO 80913-4408
Mailing address
18745 Bethpage Dr
Lewes, DE 19958-4859
Phone (443) 987-0941
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18639 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Army Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Fort Carson, CO
- NPI 1134322993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1659260305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18745 BETHPAGE DR",
"city": "LEWES",
"state": "DE",
"postal_code": "199584859",
"telephone_number": "443-987-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HOGAN ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809134408",
"telephone_number": "719-526-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLES",
"first_name": "JOHNATHAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.