Michael J.G. Coon

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Practice address

3232 W Houghton Lake Dr
Houghton Lake, MI 48629-8244

Phone

(989) 366-6971

NPI assigned

Apr 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1003107848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 W HOUGHTON LAKE DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 W HOUGHTON LAKE DR",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486298244",
            "telephone_number": "989-366-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "MICHAEL",
        "middle_name": "J.G.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Budzynski
• Karen Cass, RN
• Vanessa Castro
• Kelly L Christian
• Michael Gerald Coon
• Stacey Lynn Crane, NP-C
• Elise Decker
• Kevin T. Denlinger, D.O.
• Jeanne Marie Dietrich
• Allison Docherty

• Dental Laboratory Technician in Houghton Lake, MI
• Providers in Houghton Lake, MI by specialty
• Dental Laboratory Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.