Hannah Gray Cohen, DDS
Individual provider Active NPI Endodontics · Winchester, MA
NPI 1972025328 · NPPES record last updated Jan 20, 2020
Key facts
- NPI
- 1972025328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DN1857742 (MA)
- Practice address
- 607 Main St
Winchester, MA 01890-1902 - Phone
- (781) 729-7767
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912001473 | MA | Order and Referring Only - Dentist |
8628341781 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857742 | MA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janis Moriarty, DMD, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | DN1857742 | MA | Yes |
Addresses
Primary practice location
607 Main St
Winchester, MA 01890-1902
Mailing address
95 Mount Vernon St Apt 12
Boston, MA 02108-1209
Other providers in Winchester, MA
- Charles River Eye Associates
- Kimberlee E Chatson
- Hai Choy
- Teriggi Ciccone
- Jean Marie Cogan
- Mary Kate Collins
- Richard Allen Colozzi
- Connor Joseph Comeau
- Connecting US LLC
- John E Copanos
All providers in Winchester, MA · Endodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.