Individual provider Active NPI

Melvin Cohen, D.D.S.

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1982715975
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21863 Issued in CA
Practice address
7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119
Phone
(714) 847-8501
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21863 CA Primary

Addresses

Primary practice location

7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119

Mailing address

7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119
Phone (714) 847-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160301002228 CA Order and Referring Only - DentistPractitioner - Dentist 5991930596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21863CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Dental Corporation General Practice PastSince Oct 5, 2021 Accepting new patients
Victoria Kha DDS, Inc General Practice PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1982715975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479119",
            "telephone_number": "714-847-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479119",
            "telephone_number": "714-847-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.