Active NPI
Nolan Coon
- General Practice Dentistry
- Topsham, ME
National Provider Identifier
1306017967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00010362
- Practice address
- 11 Winners Cir
Topsham, ME 04086-1727 - Phone
- (207) 725-1755
- NPI assigned
- Mar 21, 2008
- Last updated
- Mar 21, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010362 | WA | Primary |
Addresses
Primary practice location
11 Winners Cir
Topsham, ME 04086-1727
Mailing address
10617 E Holman Rd
Spokane Valley, WA 99206-9285
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 |
|---|---|---|---|
| DE00010362 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1306017967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10617 E HOLMAN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992069285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WINNERS CIR",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861727",
"telephone_number": "207-725-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "NOLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-21",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topsham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.