Organization Active NPI

Kenneth a. Cohen and Ann S. Jamieson,DDS,PA

  • General Practice Dentistry
  • Oldsmar, FL
National Provider Identifier
1700802386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10264 Issued in FL
Legal business name
KENNETH A. COHEN AND ANN S. JAMIESON,DDS,PA
Practice address
190 Pine Ave N
Oldsmar, FL 34677-4629
Phone
(813) 855-1007
Fax
(813) 855-1009
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sharon A Goulish
Title
Office Manager
Phone
(813) 855-1007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10076 FL
General Practice Dentistry 1223G0001X 10264 FL Primary

Addresses

Primary practice location

190 Pine Ave N
Oldsmar, FL 34677-4629

Mailing address

190 Pine Ave N
Oldsmar, FL 34677-4629
Phone (813) 855-1007

Other identifiers 2

IdentifierTypeStateIssuer
60538OtherFLBLUE CROSS BLUE SHIELD PR
67155OtherFLBLUE CROSS BLUE SHIELD PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700802386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PINE AVE N",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774629",
            "telephone_number": "813-855-1007",
            "fax_number": "813-855-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PINE AVE N",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774629",
            "telephone_number": "813-855-1007",
            "fax_number": "813-855-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. COHEN AND ANN S. JAMIESON,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOULISH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-855-1007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10076",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "60538",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "67155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.