Organization Active NPI

Martin K. Coonen, DDS PC

Doing business as Coonen Dental

  • Dentist
  • Helena, MT
National Provider Identifier
1316282510
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2313 Issued in MT
Legal business name
MARTIN K. COONEN, DDS PC
Doing business as
Coonen Dental
Practice address
64 Medical Park Dr Ste 1
Helena, MT 59601-4903
Phone
(406) 442-3190
NPI assigned
Nov 29, 2012
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Martin K Coonen, DDSNPI 1922263086
Title
Dentist/President
Phone
(406) 442-3190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2313 MT Primary

Addresses

Primary practice location

64 Medical Park Dr Ste 1
Helena, MT 59601-4903

Mailing address

64 Medical Park Dr Ste 1
Helena, MT 59601-4903
Phone (406) 442-3190

Other identifiers 2

IdentifierTypeStateIssuer
0000124618MedicaidMT
0000258063MedicaidMT

Other names 1

  • Coonen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

64 Medical Park Dr
Ste 1
Helena, MT 59601
Phone (406) 442-3190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1316282510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MEDICAL PARK DR STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014903",
            "telephone_number": "406-442-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MEDICAL PARK DR STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014903",
            "telephone_number": "406-442-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN K. COONEN, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "COONEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "406-442-3190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000124618",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000258063",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coonen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.