Grace Elizabeth Beck Coburn, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7049 Issued in LA

Practice address

3100 Galleria Dr Ste 206
Metairie, LA 70001

Phone

(504) 885-0177

NPI assigned

Apr 7, 2020

Sex

Female

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

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.

• Garrett B Morris DDS LLC

  • Endodontics
  • Metairie, LA
  • NPI 1902905912
  NPD
• Tanika Hale DDS LLC

  • General Practice Dentistry
  • Marrero, LA
  • NPI 1275365660
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1104455401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "831-566-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-885-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201524",
            "country_code": "US",
            "telephone_number": "228-688-0622",
            "fax_number": "504-888-3581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH BECK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla P Coates I, CPHT
• Jesse Coats Jr II
• Charley Coats, DDS
• Aalilyah Cobb
• Felicia Cobbins
• Kenneck Marie Cockerham
• Jade Monique Cockrell
• Jennifer Marie Cockrell, M.S.W.
• Nile Cockrham
• Laudrey Brownell Cody III, DPT

• Endodontics in Metairie, LA
• Providers in Metairie, LA by specialty
• Endodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.