Amy S Coeler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38269 Issued in CA

Practice address

456 W D St
Lemoore, CA 93245-2612

Phone

(559) 924-9716

Fax

(559) 924-9772

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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.

• Oakberry Dental Inc

  • Dentist
  • Lemoore, CA
  • NPI 1811438708
  NPD Authorized official
• Oakberry Dental

  • General Practice Dentistry
  • Lemoore, CA
  • NPI 1073775102

  General Practice

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104830587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W D ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452612",
            "telephone_number": "559-924-9716",
            "fax_number": "559-924-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W D ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452612",
            "telephone_number": "559-924-9716",
            "fax_number": "559-924-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELER",
        "first_name": "AMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "38269",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "792135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Chavez, DPT, PT
• Oliver Chiong, M.D.
• Leland Cho, D.D.S.
• Hannah Yuni Chung, DMD
• Shirlee Cicale, FNP
• Marissa Anne Connolly, DO
• Kelly Susan Cornelius, RD
• Candace Ann Cornett, PT
• Scott Anthony Cota, M.D.
• Ronette Cotta-Garcia

• All providers in Lemoore, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.