Jerrold Cohen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2182 Issued in ME

Practice address

63 Franklin St
Rumford, ME 04276-2043

Phone

(207) 364-8652

NPI assigned

Jun 27, 2006

Last updated

Mar 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1720015407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762043",
            "telephone_number": "207-364-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FRANKLIN ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762043",
            "telephone_number": "207-364-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JERROLD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda T.G. Cameron, O.D.
• Joan Berta Casey
• Marylena Chaisson, LCPC
• Lisa Susan Chenevert, D.O.
• Kim S Cocca
• Community Concepts Incorporated
• Community Concepts, Inc.
• Community Dental
• Samantha Lynn Cormier
• Said George Daoud, MD

• General Practice Dentistry in Rumford, ME
• Providers in Rumford, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.