Organization Active NPI

John Cohen D D S Dental Corporation

  • Dental Clinic/Center
  • Wilmington, CA
National Provider Identifier
1992192058
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN COHEN D D S DENTAL CORPORATION
Practice address
104 W Anaheim St
Suite C
Wilmington, CA 90744-4488
Phone
(818) 786-6000
Fax
(818) 786-8820
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
John Cohen, D.D.S
Title
President/Dentist
Phone
(310) 830-3452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

104 W Anaheim St
Suite C
Wilmington, CA 90744-4488

Mailing address

14306 Victory Blvd
Van Nuys, CA 91401-1944
Phone (310) 830-3452

Other names 1

  • Dental Plus Doing business as

National Provider Directory

National Provider Directory

Locations

10823 Hawthorne Blvd
Ste A
Inglewood, CA 90304
Phone (310) 412-8013

14306 Victory Blvd
Van Nuys, CA 91401
Phone (818) 786-6000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1992192058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14306 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011944",
            "telephone_number": "310-830-3452",
            "fax_number": "310-830-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W ANAHEIM ST",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444488",
            "telephone_number": "818-786-6000",
            "fax_number": "818-786-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COHEN D D S DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "310-830-3452",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.