NPIMap

Organization Active NPI

Coleman Management Group Vandalia, LLC

  • Dental Clinic/Center
  • Dayton, OH
National Provider Identifier
1003545765
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLEMAN MANAGEMENT GROUP VANDALIA, LLC
Practice address
8605 N Dixie Dr
Dayton, OH 45414-2403
Phone
(937) 264-1600
NPI assigned
Jun 8, 2022
Organization subpart
Yes
Parent organization
COLEMAN MANAGEMENT GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Karly Coleman
Title
Office Manager
Phone
(937) 264-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8605 N Dixie Dr
Dayton, OH 45414-2403

Mailing address

8605 N Dixie Dr
Dayton, OH 45414-2403
Phone (937) 264-1600

Other identifiers 3

IdentifierTypeStateIssuer
1821210998OtherLEE R HENDRICKS
1457769846OtherCAITLIN LOCHTEFELD
1063903961OtherRACHEL EIFERT

Other names 1

  • Cadence Dental Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karly@cadencedentalgroup.com

National Provider Directory

National Provider Directory
Part of
Coleman Management Group Vandalia LLC

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1003545765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142403",
            "telephone_number": "937-264-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 N DIXIE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142403",
            "telephone_number": "937-264-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN MANAGEMENT GROUP VANDALIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLEMAN MANAGEMENT GROUP, LLC",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KARLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-264-1600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEE R HENDRICKS",
            "identifier": "1821210998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAITLIN LOCHTEFELD",
            "identifier": "1457769846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RACHEL EIFERT",
            "identifier": "1063903961",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karly@cadencedentalgroup.com",
            "affiliation": "N",
            "address_1": "8605 N Dixie Dr",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454142403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cadence Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.