Everod A Coleman Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018716L Issued in PA

Practice address

1601 Walnut St Ste 720
Philadelphia, PA 19102-2904

Phone

(215) 981-0380

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By 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.

• Coleman and Turner Dental Associates

  • General Practice Dentistry
  • Phila, PA
  • NPI 1710085352
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1063787661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022904",
            "telephone_number": "215-981-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022904",
            "telephone_number": "215-981-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "EVEROD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018716L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Coleman, LCSW
• Charlyn Coleman
• Connie Coleman, CRNA
• Darnell D Coleman, M.A., L.S.W.
• Dianna Carmell Coleman, MA
• Gerald Coleman
• Hadassah Coleman
• Jabina Coleman, LSW, IBCLC
• Kathryn Coleman, MOTR/L
• Laniece A Coleman, CNMW

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.