Individual provider Active NPI

Owen Cohen

  • Dentist
  • Henderson, NV
National Provider Identifier
1700587391
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8072 Issued in NV
Practice address
4 Sunset Way
Henderson, NV 89014-2015
Phone
(702) 968-6628
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8072 NV Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14008927-9926 UT

Addresses

Primary practice location

4 Sunset Way
Henderson, NV 89014-2015

Mailing address

2000 N Fashion Show Dr Unit 4700
Las Vegas, NV 89109-1615

Other practice location 1

10894 S River Front Pkwy
South Jordan, UT 84095-5609
Phone (801) 878-1200

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

LicenseStateTypeSpecialty
8072NVMDDentist
14008927-9926UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Roseman University of Health Sciences, a Nevada Non-Profit Corp Dentist CurrentSince Mar 20, 2025 Accepting new patients

Locations

10894 S River Front Pkwy
South Jordan, UT 84095
Phone (801) 302-2600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1700587391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N FASHION SHOW DR UNIT 4700",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SUNSET WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142015",
            "telephone_number": "702-968-6628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10894 S River Front Pkwy",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955609",
            "country_code": "US",
            "telephone_number": "801-878-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "OWEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8072",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "UT",
            "license": "14008927-9926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.