Active NPI
Jcoynedds LLC
- General Practice Dentistry
- Kettering, OH
National Provider Identifier
1114208394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-22096
- Legal business name
- JCOYNEDDS LLC
- Practice address
- 1749 Delco Park Dr
Kettering, OH 45420-1398 - Phone
- (937) 298-2424
- Fax
- (937) 298-2304
- NPI assigned
- Sep 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan William Coyne, D.D.S.
- Title
- Sole Member
- Phone
- (937) 298-2424
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-22096 | OH | Primary |
Addresses
Primary practice location
1749 Delco Park Dr
Kettering, OH 45420-1398
Mailing address
1749 Delco Park Dr
Kettering, OH 45420-1398
Phone (937) 298-2424
Other names 1
- Coyne Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Kettering, OH
- NPI 1558374389
-
- Dentist
- Kettering, OH
- NPI 1063514222
-
- Dentist
- Dayton, OH
- NPI 1225417298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1114208394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 DELCO PARK DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201398",
"telephone_number": "937-298-2424",
"fax_number": "937-298-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 DELCO PARK DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201398",
"telephone_number": "937-298-2424",
"fax_number": "937-298-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JCOYNEDDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "COYNE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "937-298-2424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-22096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coyne Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.