Individual provider Active NPI

Nestor Cohenca, DDS

  • Endodontics
  • Kirkland, WA
National Provider Identifier
1831286178
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60041564 Issued in WA
Practice address
1029 Market St Ste 102
Kirkland, WA 98033-5585
Phone
(425) 440-2000
Fax
(425) 785-1130
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DF0000090 WA
Endodontics 1223E0200X DE60041564 WA Primary

Addresses

Primary practice location

1029 Market St Ste 102
Kirkland, WA 98033-5585

Mailing address

1029 Market St Ste 102
Kirkland, WA 98033-5585
Phone (425) 440-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190328002723 WA Order and Referring Only - DentistPractitioner - Dentist 2668712696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60041564WAMDEndodontist
DF0000090WAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1831286178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MARKET ST STE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335585",
            "telephone_number": "425-440-2000",
            "fax_number": "425-785-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MARKET ST STE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335585",
            "telephone_number": "425-440-2000",
            "fax_number": "425-785-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHENCA",
        "first_name": "NESTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DF0000090",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60041564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.