Patrick J Coleman, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

05352 Issued in NC

Practice address

19910 Northcove Rd
Cornelius, NC 28031-6447

Phone

(704) 892-1198

Fax

(704) 892-4119

NPI assigned

Aug 9, 2006

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 8, 2015 through Dec 8, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• DRS Coleman & Coleman

  dba Carolina Oral & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Cornelius, NC
  • NPI 1497931976
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366452492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19910 NORTHCOVE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316447",
            "telephone_number": "704-892-1198",
            "fax_number": "704-892-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19910 NORTHCOVE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316447",
            "telephone_number": "704-892-1198",
            "fax_number": "704-892-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "05352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cohesive Counseling Services, PLLC
• Gina Marie Coldren, DO
• Christen Cole, LPCA
• Jennifer L Coleman, LCMHC
• Michael Coleman, DDS
• Emily Collier, LCMHCA
• Comfort and Care LLC (Home Helpers #58445)
• Comfort Nook Counseling PLLC
• Hannah Conville, MT
• David M Cook, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.