Justin L Cochell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60309049 Issued in WA

Practice address

1403 C St
Washougal, WA 98671-2331

Phone

(360) 835-2178

Fax

(360) 835-2626

NPI assigned

Aug 7, 2009

Last updated

Nov 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1891926879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 C ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712331",
            "telephone_number": "360-835-2178",
            "fax_number": "360-835-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 C ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712331",
            "telephone_number": "360-835-2178",
            "fax_number": "360-835-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHELL",
        "first_name": "JUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9322",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60309049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhorby Patricia Castillo
• Anh Thu Thi Chau, DDS
• Chiro One Wellness Center of Washougal PLLC
• Trevor Clark, D.C.
• Hayley Elizabeth Claypool, L.M.P.
• Angela Jeanette Collins, DO
• Community Pregnancy Center of Camas/Washougal (Pathways Clinic)
• Linda Marie Conrad, RN
• Elizabeth M Cook, FNP
• Megan Abbott Costello, CCC-SLP

• General Practice Dentistry in Washougal, WA
• Providers in Washougal, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.