Organization Active NPI

Gene C Cohen

  • Dentist
  • Chesterfield, MO
National Provider Identifier
1851484760
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012278 Issued in MO
Legal business name
GENE C COHEN
Practice address
15510 Olive Blvd
Suite 120
Chesterfield, MO 63017-0710
Phone
(636) 532-2522
Fax
(636) 532-8282
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Gene C Cohen, DDSNPI 1184952186
Title
Dentist Doctor of Dental Surgery
Phone
(636) 532-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 012278 MO Primary

Addresses

Primary practice location

15510 Olive Blvd
Suite 120
Chesterfield, MO 63017-0710

Mailing address

15510 Olive Blvd
Suite 120
Chesterfield, MO 63017-0710
Phone (636) 532-2522

Other identifiers 1

IdentifierTypeStateIssuer
223876308OtherMOTAXID

National Provider Directory

National Provider Directory

Locations

15510 Olive Blvd
Ste 120
Chesterfield, MO 63017
Phone (636) 532-2522

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1851484760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-532-2522",
            "fax_number": "636-532-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-532-2522",
            "fax_number": "636-532-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE C COHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST DOCTOR OF DENTAL SURGERY",
        "authorized_official_telephone_number": "636-532-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "012278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "223876308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.