Organization Active NPI

Charles T. Coleman, D.M.D.,P.C.

  • Dental Clinic/Center
  • Covington, LA
National Provider Identifier
1205265261
Registry record updated Nov 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5013 Issued in LA
Legal business name
CHARLES T. COLEMAN, D.M.D.,P.C.
Practice address
5207 Pinnacle Pkwy
Covington, LA 70433-9191
Phone
(985) 893-4882
Fax
(985) 893-4883
NPI assigned
Nov 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Coleman, D.M.D.
Title
President
Phone
(985) 893-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5013 LA Primary

Addresses

Primary practice location

5207 Pinnacle Pkwy
Covington, LA 70433-9191

Mailing address

5207 Pinnacle Pkwy
Covington, LA 70433-9191
Phone (985) 893-4882

National Provider Directory

National Provider Directory

Locations

5207 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 893-4882

NPI Registry JSON

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1205265261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339191",
            "telephone_number": "985-893-4882",
            "fax_number": "985-893-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339191",
            "telephone_number": "985-893-4882",
            "fax_number": "985-893-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T. COLEMAN, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-893-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.