Jeffery Coon, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DDS111438 Issued in CA

Practice address

801 N Tustin Ave Ste 705
Santa Ana, CA 92705-3611

Phone

(714) 835-8873

NPI assigned

Mar 23, 2021

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 Jul 18, 2025 through Jul 18, 2027

Medicare enrollment (NPD)

Not 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.

• Austin D Hoover DDS Dental Corporation

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1962850602
  NPD (past)
• Richard a Mandel, DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Santa Ana, CA
  • NPI 1720091630
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1376129072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17511 SHERBROOK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802502",
            "telephone_number": "786-779-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-835-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "DDS111438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Contreras
• Yoanna Contreras, LVN
• Emmett Eugene Cook II
• Nancy H. Cook, M.S.W.
• Johnnie Sue Cooley, LCSW
• Maria Isabel Coontz
• Cooper Fellowship Inc.
• Stanley Cooper
• Nathan Isaiah Coppersmith
• Brianna Elia Coque, MSW, LCSW

• Oral and Maxillofacial Pathology Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.