Michael James Coles, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D011507 Issued in AZ

Practice address

14858 N Frank Lloyd Wright Blvd Ste 165a
Scottsdale, AZ 85260-2216

Phone

(480) 860-4455

NPI assigned

Jul 21, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Horizon Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1922314202
  NPD (past)
• Eastport Plaza Dental P.C.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1699927863
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1295965549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10029 E JANICE WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852609202",
            "telephone_number": "503-803-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14858 N FRANK LLOYD WRIGHT BLVD STE 165A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602216",
            "telephone_number": "480-860-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Cole
• Tyon Cole
• Colectivo Laboratories LLC
• Dawn Coleman, RN
• Ivorie Coleman, MD
• Colette Wilcoxen LLC
• Marilyn Joyce Colick, PHARM D.
• Collaborative Skin Care PLLC
• Collecting Consciousness PLLC
• Ned Louis Colletti III, LPC

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.