Reece Cochran, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

203676 Issued in CO

Practice address

332 S Orchard Springs Dr Ste 110
Pueblo West, CO 81007-6154

Phone

(719) 569-5959

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Specialists of Southern Colorado, PC

  • Periodontics
  • Pueblo West, CO
  • NPI 1427771203
  NPD Authorized official

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1669968202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR STE 110",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076154",
            "telephone_number": "719-569-5959",
            "fax_number": "719-300-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S ORCHARD SPRINGS DR STE 110",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810076154",
            "telephone_number": "719-569-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "REECE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203676",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "203676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000203184",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Amanda Chamberlin
• Cherish Life Mentorship Program
• Choice by Choice Counseling & Consulting LLC
• Tara Marie Sidiq Christensen, CSFA
• Carlos Joaquin Cisneros, PHARM D.
• Colorado Compass Network
• Colorado Compass Network
• Colorado Dental Professionals, LLC
• Karen W. Colvin, MD
• Compass Rose Counseling, LLC

• Periodontics in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.