Individual provider Active NPI

Adam Coleman, D.M.D

  • Dentist
  • Greenville, SC
National Provider Identifier
1356702500
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9166 Issued in SC
Practice address
15 Garlington Rd Ste 200
Greenville, SC 29615-4629
Phone
(864) 207-7141
Fax
(864) 663-2682
NPI assigned
Mar 16, 2016
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9166 SC Primary

Addresses

Primary practice location

15 Garlington Rd Ste 200
Greenville, SC 29615-4629

Mailing address

15 Garlington Rd Ste 200
Greenville, SC 29615-4629
Phone (864) 207-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9166SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dental Sleep Center, LLC General Practice CurrentSince Jan 21, 2024 Accepting new patients
Fred M Hannan Sr, D.D.S., PC General Practice PastSince Jul 1, 2022 Accepting new patients

Locations

15 Garlington Rd
Ste 200
Greenville, SC 29615
Phone (864) 207-7141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1356702500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GARLINGTON RD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154629",
            "telephone_number": "864-207-7141",
            "fax_number": "864-663-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GARLINGTON RD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154629",
            "telephone_number": "864-207-7141",
            "fax_number": "864-663-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.