Gary A. Cohen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15102 Issued in MI

Practice address

27560 Cherry Hill Rd
Garden City, MI 48135-3156

Phone

(734) 422-5480

Fax

(734) 422-3446

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kid Skills LLC

  • Clinic/Center
  • Lakewood, NJ
  • NPI 1730961228
  NPD Authorized official
• Gary a. Cohen, D.D.S., P.C.

  • Dentist
  • Garden City, MI
  • NPI 1326897810
  NPD

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932288487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27560 CHERRY HILL RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353156",
            "telephone_number": "734-422-5480",
            "fax_number": "734-422-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27560 CHERRY HILL RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481353156",
            "telephone_number": "734-422-5480",
            "fax_number": "734-422-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GARY",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "15102",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "718876",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Garden City
• Clark Center for Comprehensive Medicine P.C.
• Donald Godfrey Clark, P.A.-C
• William Russell Clugston, DC
• Alysse Jaclyn Cohen, M.D.
• Community Care RX LLC
• Complete Care Services Inc.
• Complete Cares Services, Inc
• Andreas Comsa, PA-C
• Stephenie M Cook

• General Practice Dentistry in Garden City, MI
• Providers in Garden City, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.