Kevin J. Coolidge DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

55295 Issued in CA

Legal business name

KEVIN J. COOLIDGE DDS INC.

Practice address

500 E Remington Dr Ste 22
Sunnyvale, CA 94087-2612

Phone

(408) 736-4344

NPI assigned

Jul 11, 2018

Last updated

Jul 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Coolidge, DDSNPI 1295868503

Title

Owner

Phone

(408) 736-4344

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin James Coolidge, D.D.S.

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1295868503
  NPD (past) Authorized official
• Clifford Weston Coolidge, DDS

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1861524340
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1255817375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 W IOWA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867568",
            "telephone_number": "415-730-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR STE 22",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872612",
            "telephone_number": "408-736-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. COOLIDGE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "COOLIDGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supriya KC
• Rebecca Bartoli Keller, D.D.S., M.S.D.
• Michael O'Hara Kelley, PH.D., MFT
• Barbara Anne Kempeny, DC
• Ken Fujinaka Chiropractic, Inc.
• Ivy Kha, OD
• Nickey Kha
• Nina Kha, PT
• Fatima Moiz Khambaty, MD
• Amir-Reza J Khamneipur, DC

• Dental Clinic/Center in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.