Active NPI
Mahrouz Cohen, DDS
- Endodontics
- Encino, CA
National Provider Identifier
1861669004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 41069
- Practice address
- 16311 Ventura Blvd Ste 1290
Encino, CA 91436-4389 - Phone
- (818) 788-9977
- Fax
- (818) 788-9192
- NPI assigned
- May 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 41069 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd Ste 1290
Encino, CA 91436-4389
Mailing address
16311 Ventura Blvd Ste 1290
Encino, CA 91436-4389
Phone (818) 788-9977
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mcoheninc@aol.com | ||
| Other URL | mcoheninc@aol.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 10, 2022 through Apr 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1861669004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD STE 1290",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364389",
"telephone_number": "818-788-9977",
"fax_number": "818-788-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD STE 1290",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364389",
"telephone_number": "818-788-9977",
"fax_number": "818-788-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MAHROUZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "41069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mcoheninc@aol.com",
"affiliation": "N",
"address_1": "16311 Ventura Blvd Ste 1290",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "914364389",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mcoheninc@aol.com",
"affiliation": "N",
"address_1": "16311 Ventura Blvd Ste 1290",
"city": "Encino",
"state": "CA",
"country_code": "US",
"postal_code": "914364389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.