Active NPI
Trevor Allen Coeling, DDS
- Public Health Dentistry
- West Branch, MI
National Provider Identifier
1073963831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 2901021936
- Practice address
- 628 Progress St
West Branch, MI 48661-9383 - Phone
- (989) 343-1496
- NPI assigned
- Jun 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 2901021936 | MI | Primary |
Addresses
Primary practice location
628 Progress St
West Branch, MI 48661-9383
Mailing address
628 Progress St
West Branch, MI 48661-9383
Phone (989) 343-1496
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021936 | MI | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1073963831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 PROGRESS ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619383",
"telephone_number": "989-343-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 PROGRESS ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619383",
"telephone_number": "989-343-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELING",
"first_name": "TREVOR",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-13",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "MI",
"license": "2901021936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.