Active NPI
William Stephen Coker, DMD, PA
- Dentist
- Cary, NC
National Provider Identifier
1306142328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6021
- Practice address
- 3600 NW Cary Pkwy Ste 115
Cary, NC 27513-8444 - Phone
- (919) 380-9622
- Fax
- (919) 380-9758
- NPI assigned
- Feb 9, 2011
- Last updated
- Feb 9, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6021 | NC | Primary |
Addresses
Primary practice location
3600 NW Cary Pkwy Ste 115
Cary, NC 27513-8444
Mailing address
3600 NW Cary Pkwy Ste 115
Cary, NC 27513-8444
Phone (919) 380-9622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122300000X | Other | NC | TAXONOMY |
| 1497772842 | Other | NC | NPI CORPORATION ID |
| 8991705 | Medicaid | NC | |
| 204001886 | Other | NC | TAX ID |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6021 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Stephen Coker DMD PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1306142328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW CARY PKWY STE 115",
"city": "CARY",
"state": "NC",
"postal_code": "275138444",
"telephone_number": "919-380-9622",
"fax_number": "919-380-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW CARY PKWY STE 115",
"city": "CARY",
"state": "NC",
"postal_code": "275138444",
"telephone_number": "919-380-9622",
"fax_number": "919-380-9758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "WILLIAM",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DMD, PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "122300000X",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI CORPORATION ID",
"identifier": "1497772842",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8991705",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "204001886",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.