Brian D. Coerver, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4346 Issued in OK

Legal business name

BRIAN D. COERVER, DDS

Practice address

1401 Arlington St
Ada, OK 74820-2636

Phone

(580) 332-4872

Fax

(580) 436-1971

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian Damian Coerver, DDSNPI 1588779524

Title

DDS

Phone

(580) 332-4872

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brian Damian Coerver, DDS

  • General Practice Dentistry
  • Ada, OK
  • NPI 1588779524
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1003074782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-332-4872",
            "fax_number": "580-436-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202636",
            "telephone_number": "580-332-4872",
            "fax_number": "580-436-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. COERVER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "COERVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "580-332-4872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Dean Bratton, D.D.S.
• Courtney K Bratton, OD
• Dani Bough-David Brecheen, CM II
• Susan Dorothy Brecheen, RN
• Laura Eve Brewer-James, APRN
• Stacie Brockhoff, B.H.R.S.
• Broderick Enterprises, LLC
• Zack Langdon Broderick, PHARMD
• Christina A Brogdon
• Tangra Lea Broge, MD

• All providers in Ada, OK
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.