DR. YONATHAN KOHANBASH DDS
NPI 1003787151
Dentist - General Practice in Gallup, NM

Q: What is Yonathan Kohanbash's NPI number?

The NPI number for Yonathan Kohanbash is 1003787151. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Q: What is Yonathan Kohanbash's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 12, 2025

802 US HIGHWAY 491 STE 802, GALLUP, NM 87301(505) 862-5018 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2025, Sep 12, 2025 (2 updates tracked since 2025).

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About Dr. Yonathan Kohanbash Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. YONATHAN KOHANBASH DDS (NPI 1003787151) is an individual general practice provider in Gallup, New Mexico, licensed in California (112365) and active in the NPI registry since September 2025. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1003787151

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. YONATHAN KOHANBASHCredential: DDS

Location Address802 US HIGHWAY 491 STE 802Gallup, NM 87301-5388

Mailing Address5929 Wilbur AveTarzana, CA 91356-1325

Phone(505) 862-5018

Sole ProprietorYes

Enumeration DateSeptember 12, 2025

Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1003787151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 112365

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

802 US HIGHWAY 491 STE 802, Gallup, NM 87301

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Secondary Practice Location 1

Location 1714 Tiverton AveLos Angeles, CA 90095-8361 · Phone (310) 206-2904

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Combined Life.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yonathan Kohanbash's NPI number?

The NPI number for Yonathan Kohanbash is 1003787151. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Yonathan Kohanbash located?

Yonathan Kohanbash practices at 802 Us Highway 491 Ste 802, Gallup, NM 87301. The listed phone number is (505) 862-5018.

What is Yonathan Kohanbash's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Yonathan Kohanbash accept?

Health plans from Anthem Blue Cross and Blue Shield and Florida Combined Life list Yonathan Kohanbash as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yonathan Kohanbash was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.