Mark Gregory Coulter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16954 Issued in FL

Practice address

5511 SW 8TH St
#201
Coral Gables, FL 33134-2272

Phone

(305) 264-1200

Fax

(786) 476-5508

NPI assigned

Apr 20, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1346484474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 SW 8TH ST",
            "address_2": "#201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342272",
            "telephone_number": "305-264-1200",
            "fax_number": "786-476-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 SW 8TH ST",
            "address_2": "#201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342272",
            "telephone_number": "305-264-1200",
            "fax_number": "786-476-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "MARK",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Costigan
• Lynn Costo Vazquez
• Yanepsi Cotelo-Pardo, D.D.S.
• Natalie Marie Coto, D.P.T.
• Cots Medical Group Corp
• Counseling & Hypnosis Associates
• Candace Cousins
• Ernesto Couso Carnero
• Diana Vanessa Covington, ARNP
• Andres Cowley, MD

• General Practice Dentistry in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.