Active NPI
Douglas L Coe, DMD
- General Practice Dentistry
- Walla Walla, WA
National Provider Identifier
1356422117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5235
- Practice address
- 1341 Lowell Dr
Walla Walla, WA 99362-8820 - Phone
- (509) 522-6599
- Fax
- (509) 526-5295
- NPI assigned
- Oct 18, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5235 | WA | Primary |
Addresses
Primary practice location
1341 Lowell Dr
Walla Walla, WA 99362-8820
Mailing address
1341 Lowell Dr
Walla Walla, WA 99362-8820
Phone (509) 522-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001076 | TX | Order and Referring Only - Dentist | 4789634841 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald J. Will, D.D.S., PLLC | General Practice | Past | Accepting new patients |
| Stuart Dental LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Walla Walla, WA
- NPI 1619058393
-
- Dentist
- Walla Walla, WA
- NPI 1023379633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1356422117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 LOWELL DR",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628820",
"telephone_number": "509-522-6599",
"fax_number": "509-526-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 LOWELL DR",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628820",
"telephone_number": "509-522-6599",
"fax_number": "509-526-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COE",
"first_name": "DOUGLAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.