NPIMap

Organization Active NPI

Eric Phelps, DDS, Ms and Jason Cohen, DDS, N

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Jose, CA
National Provider Identifier
1699034017
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ERIC PHELPS, DDS, MS AND JASON COHEN, DDS, N
Practice address
2075 Forest Ave.
Ste. 2
San Jose, CA 95128-4812
Phone
(408) 298-3433
Fax
(408) 298-3433
NPI assigned
May 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Mr. Jason Cohen Michael Cohen, D.D.S., M.S.
Title
Doctor/Owner
Phone
(408) 298-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2075 Forest Ave.
Ste. 2
San Jose, CA 95128-4812

Mailing address

2075 Forest Ave.
Ste. 2
San Jose, CA 95128-4812
Phone (408) 298-3433

Other names 1

  • Phelps & Cohen Orthodontics Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

2075 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 298-3433

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1699034017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE.",
            "address_2": "STE. 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-298-3433",
            "fax_number": "408-298-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE.",
            "address_2": "STE. 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-298-3433",
            "fax_number": "408-298-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC PHELPS, DDS, MS AND JASON COHEN, DDS, N",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JASON COHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "408-298-3433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps & Cohen Orthodontics Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.