Shadonna Danielle Coleman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30023623 Issued in OH

Practice address

4655 Morse Centre Rd
Columbus, OH 43229-6601

Phone

(614) 470-9840

NPI assigned

Oct 5, 2009

Sex

Female

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

State licenses

Practice roles

Networks

• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• KY PPO C-SNP
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbus Smiles Youth Dentistry LLC Michael Crites, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1922173368
  NPD (past)
• Morse Dental Health Center Joan Salido DDS Inc

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1558770222
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1003141342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 MORSE CENTRE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296601",
            "telephone_number": "614-470-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 MORSE CENTRE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296601",
            "telephone_number": "614-470-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "SHADONNA",
        "middle_name": "DANIELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenah C Coleman, APRN-CNP
• Misty Lynn Coleman, MSW,LISW-S
• Reginald Coleman
• Sandra Joan Coleman
• Sean R Coleman, CPRS
• Stephanie H Coleman, LPCC
• Tamara Coleman
• Thomas Hewitt Coleman, MD
• Valerie Coleman, CDCA
• Suzanne Lynn Colemantolbert, MS, CDCA

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.