Active NPI
John Cohen D D S Dental Corporation
- Dental Clinic/Center
- Wilmington, CA
National Provider Identifier
1992192058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Huntington Beach, CA
- NPI 1053450577
-
- Dentist
- Lennox, CA
- NPI 1306069505
-
- Dentist
- Beverly Hills, CA
- NPI 1700159050
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.