NPIMap

Organization Active NPI

John P Coolican DMD, Inc

  • Dental Clinic/Center
  • Scranton, PA
National Provider Identifier
1023405552
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS028134L Issued in PA
Legal business name
JOHN P COOLICAN DMD, INC
Practice address
803 S Main Ave
Scranton, PA 18504-2757
Phone
(570) 343-8166
Fax
(855) 429-2485
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. John P Coolican, DMDNPI 1689693194
Title
President
Phone
(570) 343-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS028134L PA Primary

Addresses

Primary practice location

803 S Main Ave
Scranton, PA 18504-2757

Mailing address

803 S Main Ave
Scranton, PA 18504-2757
Phone (570) 343-8166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1023405552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042757",
            "telephone_number": "570-343-8166",
            "fax_number": "855-429-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042757",
            "telephone_number": "570-343-8166",
            "fax_number": "855-429-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P COOLICAN DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "COOLICAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-343-8166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS028134L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.