Active NPI
Jacqueline Cogan, DDS
- Dentist
- North Miami Beach, FL
National Provider Identifier
1992999866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN13221
- Practice address
- 16235 NE 11TH CT
North Miami Beach, FL 33162-4505 - Phone
- (305) 947-3439
- Fax
- (305) 940-0790
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN13221 | FL | Primary |
Addresses
Primary practice location
16235 NE 11TH CT
North Miami Beach, FL 33162-4505
Mailing address
16235 NE 11TH CT
North Miami Beach, FL 33162-4505
Phone (305) 947-3439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN13221 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1992999866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16235 NE 11TH CT",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624505",
"telephone_number": "305-947-3439",
"fax_number": "305-940-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16235 NE 11TH CT",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624505",
"telephone_number": "305-947-3439",
"fax_number": "305-940-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGAN",
"first_name": "JACQUELINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN13221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.