Alisa Morgan Cogan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN23235 Issued in FL

Practice address

812 SW Federal Hwy
Stuart, FL 34994-2939

Phone

(772) 287-1671

NPI assigned

Jul 3, 2018

Sex

Female

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 FL

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 and National Provider Directory roles.

• Dentists of Melbourne, PA

  • Dentist
  • Melbourne, FL
  • NPI 1871006742
  NPD (past)

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698537600000",
    "number": "1891281697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 PANAMA ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264529",
            "telephone_number": "954-292-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942939",
            "telephone_number": "772-287-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10338 Panama St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330264529",
            "country_code": "US",
            "telephone_number": "954-292-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGAN",
        "first_name": "ALISA",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Diann Cody
• Bruno Coelho Da Rocha Lazaro, MD, FACS
• Evelyn Grace Cofer
• Bar-Breea Coffee
• Jasmine Coffey
• Chantel Pearl Cogan, BCABA
• Cognicare Neuropsychology Specialists
• Thomas B Cogsil, DDS
• Alexandri Jacob Cohen
• Patrice Cohen, M.D.

• Dentist in Stuart, FL
• Providers in Stuart, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2023; 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.