Dustin R Coles, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6939 Issued in AZ

Practice address

21083 N John Wayne Pkwy Ste C105
Maricopa, AZ 85239-2961

Phone

(520) 568-5600

NPI assigned

Feb 9, 2007

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275674442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N DESOTO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21083 N JOHN WAYNE PKWY STE C105",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852392961",
            "telephone_number": "520-568-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "DUSTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana D Clah
• Duane Cardon Clouse, D.D.S.
• Faith Coleman
• Nanette Carol Coleman, LMFT, CPLC
• Steven Coleman
• Tyler James Coles, D.D.S.
• Comfort Care Celtic Homes
• Comfort Care LLC
• Compassionate Family Care LLC
• Compassionate Health Care Services (Abra Dalton)

• Orthodontics and Dentofacial Orthopedics Dentistry in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.