Active NPI
Paula K Coffee, DDS
- Dentist
- Parker, CO
National Provider Identifier
1124232558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105608
- Practice address
- 11031 S Pikes Peak Dr
Ste. 103
Parker, CO 80138-7389 - Phone
- (393) 841-4580
- Fax
- (303) 841-7765
- NPI assigned
- May 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105608 | CO | Primary |
Addresses
Primary practice location
11031 S Pikes Peak Dr
Ste. 103
Parker, CO 80138-7389
Mailing address
9553 E Chenango Ave
Greenwood Village, CO 80111-1325
Phone (303) 721-4580
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 |
|---|---|---|---|
| 105608 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124232558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9553 E CHENANGO AVE",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801111325",
"telephone_number": "303-721-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 S PIKES PEAK DR",
"address_2": "STE. 103",
"city": "PARKER",
"state": "CO",
"postal_code": "801387389",
"telephone_number": "393-841-4580",
"fax_number": "303-841-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE",
"first_name": "PAULA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "105608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- 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.