Mack Elbert Coker, D.D.S., M.S., P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8267 Issued in TX

Practice address

13303 Champion Forest Dr
Ste 3
Houston, TX 77069-2650

Phone

(281) 444-4704

Fax

(281) 444-7465

NPI assigned

Apr 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346362464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DR STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692650",
            "telephone_number": "281-444-4704",
            "fax_number": "281-444-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 CHAMPION FOREST DR",
            "address_2": "STE 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770692650",
            "telephone_number": "281-444-4704",
            "fax_number": "281-444-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "MACK",
        "middle_name": "ELBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Coit, PA-C
• Elijah Cok
• Amiyai Coker
• Damilola Funmilayo Coker, LPC
• Jasmine Nkrumah Coker
• Newton J. Coker, M.D.
• Shannon Poth Coker, OT, PHD
• Jon Alan Cokley, PHARMD
• Ziba Aspi Colah
• Julie Colantonio, LCSW, LCDC

• Periodontics in Houston, TX
• Providers in Houston, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.