Nicholas John Coles, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8363 Issued in AZ

Practice address

7455 E Tanque Verde Rd
Tucson, AZ 85715-3477

Phone

(520) 745-2454

NPI assigned

Apr 10, 2008

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 16, 2013 through Dec 16, 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.

• Arizona Oral and Maxillofacial Surgeons, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
  • NPI 1700091238
  NPD (past)
• Az Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1144900994
  NPD (past)
• Az Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oro Valley, AZ
  • NPI 1336808815
  NPD (past)
• Az Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Tucson, AZ
  • NPI 1851070015
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1396918264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 N MOUNTAIN BREEZE DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857377246",
            "telephone_number": "801-891-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153477",
            "telephone_number": "520-745-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "8363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Coleman
• Deirdre Leigh Coleman
• Julie Coleman
• Kendra Aaryn Coleman, MD
• Rhonda Coleman, DAOM
• Kathleen Marie Colgan, PHARM D
• Colibri Physical Therapy Rehab and Performance, LLC
• Celyness Colina Pratts
• Collaborative Associates in Surgical Assisting
• Collaborative Medical Provider Group, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.