Jeffrey Michael Coleman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60644 Issued in CA

Practice address

6968 Warner Ave
Huntington Beach, CA 92647-5316

Phone

(714) 842-5593

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

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

State licenses

Practice roles

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

• Jeffrey M. Coleman, D.D.S., Inc.

  dba Surf City Dentist

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1790417905
  NPD Authorized official
• Ronald W. Thompson & Scott D. Christensen

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1225070816
  NPD (past)
• Rudolph S Gamarnik & Scott D Christensen

  • Periodontics
  • Huntington Beach, CA
  • NPI 1083133201
  NPD (past)

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1033497730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19711 SEASHORE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483037",
            "telephone_number": "714-878-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6968 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475316",
            "telephone_number": "714-842-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Cohen
• Col-Sea Physical Therapy Corp (Southern California Aquatic & Physical Therapy)
• Kenyeda Colby
• Tiffany Coldiron, LMFT
• Shireen Cole
• John M Coleman, DDS
• Jennifer H. Colesen, LCSW
• Colette's Children Home
• Karissa J Collins, MFT I88089
• Kathleen Ann Collins, D.D.S.

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.