Individual provider Active NPI

Robert Brand Coon, DMD

  • General Practice Dentistry
  • Norton Shores, MI
National Provider Identifier
1396472064
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601439 Issued in MI
Practice address
925 E Pontaluna Rd Ste a
Norton Shores, MI 49444-7781
Phone
(231) 799-1110
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901601439 MI Primary

Addresses

Primary practice location

925 E Pontaluna Rd Ste a
Norton Shores, MI 49444-7781

Mailing address

601 Lake Michigan Dr NW Unit 501
Grand Rapids, MI 49504-6619

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
2901601439MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain View Family Dental CurrentSince Aug 7, 2022 Accepting new patients
Robert B Coon DMD PLLC Current Accepting new patients

Locations

925 E Pontaluna Rd
Ste A
Norton Shores, MI 49444
Phone (231) 799-1110

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1396472064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LAKE MICHIGAN DR NW UNIT 501",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E PONTALUNA RD STE A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447781",
            "telephone_number": "231-799-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "ROBERT",
        "middle_name": "BRAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.