Organization Active NPI

Jcoynedds LLC

  • General Practice Dentistry
  • Kettering, OH
National Provider Identifier
1114208394
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-22096 Issued in OH
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

Updated by the provider on Sep 1, 2011

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.NPI 1558374389
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.