Organization Active NPI

William J. Cohen, D.D.S., LTD

  • Dentist
  • Chicago, IL
National Provider Identifier
1740402833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19012283 Issued in IL
Legal business name
WILLIAM J. COHEN, D.D.S., LTD
Practice address
5109B S. Pulaski Rd.
Chicago, IL 60632-4219
Phone
(773) 284-0037
Fax
(773) 284-1663
NPI assigned
May 2, 2007
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
Dr. William J. Cohen, D.D.S.
Title
President
Phone
(773) 284-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19012283 IL Primary

Addresses

Primary practice location

5109B S. Pulaski Rd.
Chicago, IL 60632-4219

Mailing address

5109B S. Pulaski Rd.
Chicago, IL 60632-4219
Phone (773) 284-0037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740402833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109B S. PULASKI RD.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-0037",
            "fax_number": "773-284-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109B S. PULASKI RD.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-0037",
            "fax_number": "773-284-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. COHEN, D.D.S., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-284-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19012283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

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.