Individual provider Active NPI

Sandra Lynn Cohen, D.D.S.

  • General Practice Dentistry
  • Dunwoody, GA
National Provider Identifier
1710257241
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014369 Issued in GA
Practice address
4700 Chamblee Dunwoody Rd
Suite 200
Dunwoody, GA 30338-6054
Phone
(770) 457-1351
Fax
(770) 458-0890
NPI assigned
Dec 30, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014369 GA
General Practice Dentistry 1223G0001X DN014369 GA Primary

Addresses

Primary practice location

4700 Chamblee Dunwoody Rd
Suite 200
Dunwoody, GA 30338-6054

Mailing address

4700 Chamblee Dunwoody Rd
Suite 200
Dunwoody, GA 30338-6054
Phone (770) 457-1351

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
DN014369GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1710257241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386054",
            "telephone_number": "770-457-1351",
            "fax_number": "770-458-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386054",
            "telephone_number": "770-457-1351",
            "fax_number": "770-458-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014369",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.