Individual provider Active NPI

Joseph R Cohen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
National Provider Identifier
1932386851
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
AZ1607 Issued in AZ
Practice address
2620 S 83Rd Ave Ste 104
Phoenix, AZ 85043-7203
Phone
(623) 936-6665
Fax
(623) 936-6829
NPI assigned
Jan 22, 2008
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AZ1607 AZ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X AZ1607 AZ Primary
Orofacial Pain Dentistry 1223X2210X AZ1607 AZ

Addresses

Primary practice location

2620 S 83Rd Ave Ste 104
Phoenix, AZ 85043-7203

Mailing address

5835 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 248-8107

Other practice location 1

5835 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 248-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051129000591 AZ Practitioner - Oral Surgery 9638199110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Tennessee HSC College of Dentistry, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1355 S Higley Rd
Suite 116
Gilbert, AZ 85296-4789
Phone (480) 545-4120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ1607AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kerr Endodontics P C Oral and Maxillofacial Surgery CurrentSince Oct 12, 2025 Accepting new patients
Ids Dental Services PLLC CurrentSince Mar 11, 2025 Accepting new patients
Double JD,LLC PastSince Mar 11, 2025 Accepting new patients

Locations

1355 S Higley Rd
Ste 116
Gilbert, AZ 85296
Phone (480) 545-4120

2620 S 83rd Ave
Ste 104
Phoenix, AZ 85043
Phone (623) 936-2678

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1932386851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-248-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 83RD AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437203",
            "telephone_number": "623-936-6665",
            "fax_number": "623-936-6829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 E Still Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852063618",
            "country_code": "US",
            "telephone_number": "480-248-8107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ1607",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "AZ1607",
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "AZ1607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.