Adam Carter Coughran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7308 Issued in LA

Practice address

900 S Vienna St
Ruston, LA 71270-5830

Phone

(318) 251-0334

NPI assigned

Aug 30, 2022

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mercy Medical Health Center

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1346907086
  NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1023738101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 TOULOUSE CIR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013663",
            "telephone_number": "318-237-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-251-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015779",
            "country_code": "US",
            "telephone_number": "318-323-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHRAN",
        "first_name": "ADAM",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Conzel, MS
• Shaterria Cooks
• Hillary Dawn Cooper, M.A., CCC-SLP
• Cornerstone Nemt LLC
• Mary Kate Cortez
• Shayvonna Q Cowens
• Anna Mitchell Cox
• Bethany Cox, LMT, CFR
• Jack L Cox Jr., MD
• Kenneth Lane Cox, DDS

• All providers in Ruston, LA
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.