Larry S Cohen, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

4949 W Irving Park Rd
Dental Team Suite F
Chicago, IL 60641-2655

Phone

(773) 725-8818

Fax

(773) 725-9491

NPI assigned

Nov 22, 2005

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 IL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Dental Team, LTD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1780773200
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750364741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "DENTAL TEAM SUITE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-725-8818",
            "fax_number": "773-725-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "DENTAL TEAM SUITE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-725-8818",
            "fax_number": "773-725-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LARRY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B Cohen, M.D.
• Kenneth Cohen
• Kenneth A Cohen, M.D.
• Lainie Cohen
• Larry A Cohen, RPH
• Leeber Cohen, MD
• Leigh Cohen, M.S. CCC-SLP
• Lenny M Cohen, MD
• Libby Eden Greenberg Cohen
• Linda S Cohen, RPH

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.