Individual provider Active NPI

Luis Cohen Rubin, DDS, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hyannis, MA
National Provider Identifier
1861950040
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DL13934 Issued in MA
Practice address
735 Attucks LN
Hyannis, MA 02601-1867
Phone
(786) 918-9535
NPI assigned
Mar 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DL13934 MA Primary

Addresses

Primary practice location

735 Attucks LN
Hyannis, MA 02601-1867

Mailing address

1685 Hyannis-Barnstable Road
Barnstable, MA 02630
Phone (786) 918-9535

Other practice location 1

49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone (786) 918-9535

Other identifiers 1

IdentifierTypeStateIssuer
GWUU1UOtherFLBASIC LIFE SUPPORT FOR HEALTH CARE PROVIDERS

Other names 1

  • Dr. Luis Cohen Rubin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1861950040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 HYANNIS-BARNSTABLE ROAD",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "02630",
            "telephone_number": "786-918-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011867",
            "telephone_number": "786-918-9535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Harry Kemp Way",
            "address_purpose": "LOCATION",
            "city": "Provincetown",
            "state": "MA",
            "postal_code": "026571618",
            "country_code": "US",
            "telephone_number": "786-918-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LUIS",
        "middle_name": "COHEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DL13934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASIC LIFE SUPPORT FOR HEALTH CARE PROVIDERS",
            "identifier": "GWUU1U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "COHEN RUBIN",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.