Daniel B Coles, DDS, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

138464 Issued in UT

Practice address

12 S 1100 E
American Fork, UT 84003-2815

Phone

(801) 756-3737

Fax

(801) 756-0504

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 12, 2016 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Michelle C Jorgensen DDS PC

  • General Practice Dentistry
  • American Fork, UT
  • NPI 1952674483
  NPD (past)
• Total Care Partners Af PLLC

  • General Practice Dentistry
  • American Fork, UT
  • NPI 1831853506
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245313121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032815",
            "telephone_number": "801-756-3737",
            "fax_number": "801-756-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032815",
            "telephone_number": "801-756-3737",
            "fax_number": "801-756-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "138464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Robert Clegg
• Michelle L Clough
• Tennille Cloward, M.D.
• Savannah Cobos
• Amber Vilate Coleman
• Sarah Coles
• Fazli Collaku, PHARM. D.
• Gabriel Coltrin
• Concord Premium Group
• Marsena E Conner, M.D.

• General Practice Dentistry in American Fork, UT
• Providers in American Fork, UT by specialty
• General Practice Dentistry in Utah

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.