Dr Clay N Coleman

Primary specialty

DentistTaxonomy code 122300000X

License

1229 Issued in NM

Legal business name

DR CLAY N COLEMAN

Practice address

104 Cruz Alta Rd
Suite Fe
Taos, NM 87571

Phone

(505) 758-9338

Fax

(505) 758-0705

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clayton Noyes Coleman Jr., DMD

Title

President

Phone

(505) 758-9338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316018039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875570517",
            "telephone_number": "505-758-9338",
            "fax_number": "505-758-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CRUZ ALTA RD",
            "address_2": "SUITE FE",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-9338",
            "fax_number": "505-758-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CLAY N COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "NOYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-758-9338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Taos, NM
• Providers in Taos, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.