Individual provider Active NPI

Madison Cohen, DMD

  • General Practice Dentistry
  • Windsor, CT
National Provider Identifier
1720736531
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13835 Issued in CT
Practice address
1060 Day Hill Rd
Windsor, CT 06095-5719
Phone
(860) 688-5595
NPI assigned
Mar 11, 2022
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13835 CT Primary

Addresses

Primary practice location

1060 Day Hill Rd
Windsor, CT 06095-5719

Mailing address

31 Upper Walnut Hill Rd
East Lyme, CT 06333-1022
Phone (860) 460-3669

Other practice location 1

5 Melrose Dr
Farmington, CT 06032-2251
Phone (860) 677-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20231115003014 CT Order and Referring Only - DentistPractitioner - Dentist 0244687085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13835CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1720736531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 UPPER WALNUT HILL RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331022",
            "telephone_number": "860-460-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 DAY HILL RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060955719",
            "telephone_number": "860-688-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Melrose Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322251",
            "country_code": "US",
            "telephone_number": "860-677-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.