Individual provider Active NPI

Cara A Coleman, DMD

  • General Practice Dentistry
  • Merrimack, NH
National Provider Identifier
1396846085
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3462 Issued in NH
Practice address
22 Greeley St
Suite 11
Merrimack, NH 03054
Phone
(603) 424-7676
Fax
(603) 429-2092
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3462 NH Primary
General Practice Dentistry 1223G0001X 20668 MA

Addresses

Primary practice location

22 Greeley St
Suite 11
Merrimack, NH 03054

Mailing address

4 Swenson Road
Bedford, NH 03110
Phone (603) 488-1767

Other identifiers 2

IdentifierTypeStateIssuer
30303975MedicaidNH
30313976MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726000836 NH Order and Referring Only - DentistPractitioner - Dentist 0446586507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20668MAMDGeneral Practice Dentistry
3462NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark S. Morris, DDS, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396846085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SWENSON ROAD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-488-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GREELEY ST",
            "address_2": "SUITE 11",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "03054",
            "telephone_number": "603-424-7676",
            "fax_number": "603-429-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3462",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30303975",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313976",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.