Individual provider Active NPI

Paulina Kogan, D.D.S

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1992974752
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410995 Issued in VA
Practice address
250 S Whiting St Ste 116
Alexandria, VA 22304-3644
Phone
(703) 370-3030
Fax
(703) 370-0852
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 0401410995 VA Primary

Addresses

Primary practice location

250 S Whiting St Ste 116
Alexandria, VA 22304-3644

Mailing address

250 S Whiting St Ste 116
Alexandria, VA 22304-3644
Phone (703) 370-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150702002461 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436461498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1992974752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S WHITING ST STE 116",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043644",
            "telephone_number": "703-370-3030",
            "fax_number": "703-370-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S WHITING ST STE 116",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043644",
            "telephone_number": "703-370-3030",
            "fax_number": "703-370-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "PAULINA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.