Individual provider Active NPI

Mark A. Kohn, D.D.S.

  • General Practice Dentistry
  • Warren, MI
National Provider Identifier
1689645988
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015192 Issued in MI
Practice address
28225 Hoover Rd
Warren, MI 48093-5436
Phone
(586) 751-6868
Fax
(586) 751-6264
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 015192 MI Primary

Addresses

Primary practice location

28225 Hoover Rd
Warren, MI 48093-5436

Mailing address

28225 Hoover Rd
Warren, MI 48093-5436
Phone (586) 751-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070129000626 MI Practitioner - Oral Surgery 0941201271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015192MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kohn & Young, PC CurrentSince Jan 29, 2007 Accepting new patients
Creative Dental Center PC General Practice PastSince Sep 13, 2010 Accepting new patients

Locations

28225 Hoover Rd
Warren, MI 48093
Phone (586) 285-9160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689645988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6868",
            "fax_number": "586-751-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28225 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935436",
            "telephone_number": "586-751-6868",
            "fax_number": "586-751-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.