Kanesha Scott Cole, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18358 Issued in FL

Practice address

1100 E Tennessee St
Suite B
Tallahassee, FL 32308-6912

Phone

(850) 561-6115

Fax

(850) 224-7299

NPI assigned

Sep 24, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1487869467
  Medicare reassignment NPD
• Neighborhood Medical Center, Inc

  dba Neighborhood Medical Center

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1174239784
  NPD

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1174773311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E TENNESSEE ST",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086912",
            "telephone_number": "850-561-6115",
            "fax_number": "850-224-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E TENNESSEE ST",
            "address_2": "SUITE B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086912",
            "telephone_number": "850-561-6115",
            "fax_number": "850-224-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KANESHA",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "18358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000403100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Cohkovic
• Aaron Cohn, ARNP-BC
• Dara Cohn
• Alberto G Cola, MD
• Haley Skye Colclough
• Kelly Leigh Cole, PHARMD
• Russell David Cole, MD
• Shatrice Cole
• Patricia Ellen Coleman-Gardella, ARNP, BC
• Kathleen Ann Coleman, MA, BCBA

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.