Active NPI
Michael Dean Cole
- Driver
- Sacramento, CA
National Provider Identifier
1235451212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- C0025623
- Practice address
- 7612 Tierra Lawn CT
Sacramento, CA 95828-2318 - Phone
- (916) 271-0806
- Fax
- (916) 383-1726
- NPI assigned
- Feb 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | C0025623 | CA | Primary |
Addresses
Primary practice location
7612 Tierra Lawn CT
Sacramento, CA 95828-2318
Mailing address
7612 Tierra Lawn CT
Sacramento, CA 95828-2318
Phone (916) 271-0806
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 |
|---|---|---|---|
| C0025623 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1235451212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7612 TIERRA LAWN CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958282318",
"telephone_number": "916-271-0806",
"fax_number": "916-383-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7612 TIERRA LAWN CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958282318",
"telephone_number": "916-271-0806",
"fax_number": "916-383-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "C0025623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.