Active NPI
Ryan Coello, DMD, MS, FACP
- Prosthodontics
- Boca Raton, FL
National Provider Identifier
1033527239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN20705
- Practice address
- 1700 S Dixie Hwy Ste 103
Boca Raton, FL 33432-7406 - Phone
- (561) 368-4057
- NPI assigned
- Jul 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 20705 | FL | |
| Prosthodontics | 1223P0700X | DN20705 | FL | Primary |
Addresses
Primary practice location
1700 S Dixie Hwy Ste 103
Boca Raton, FL 33432-7406
Mailing address
1700 S Dixie Hwy Ste 103
Boca Raton, FL 33432-7406
Phone (561) 368-4057
Other practice location 1
2441 21st St
Fort Campbell, KY 42223-5582
Phone (270) 412-2787
Other practice location 2
US Army Dentac Bldg 9900 Lincoln St
2nd Floor
Tacoma, WA 98431-0001
Phone (253) 968-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 20705 | FL | MD | Dentist |
| DN20705 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1033527239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S DIXIE HWY STE 103",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327406",
"telephone_number": "561-368-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S DIXIE HWY STE 103",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327406",
"telephone_number": "561-368-4057"
}
],
"practiceLocations": [
{
"address_1": "2441 21st St",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235582",
"country_code": "US",
"telephone_number": "270-412-2787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "US Army Dentac Bldg 9900 Lincoln St",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-4039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COELLO",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DMD, MS, FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 20705",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN20705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.