Don Anthony Coronel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12382 Issued in MD

Practice address

3419 Plum Tree Dr
Suite 100
Ellicott City, MD 21042-3821

Phone

(410) 480-2000

NPI assigned

May 21, 2007

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

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

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.

• Don a. Coronel, DDS, PA

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1730746074
  NPD (past) Authorized official
• My Ellicott City Dentist LLC

  • General Practice Dentistry
  • Ellicott City, MD
  • NPI 1689283681
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407065907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 PLUM TREE DR",
            "address_2": "SUITE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423821",
            "telephone_number": "410-480-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 PLUM TREE DR",
            "address_2": "SUITE 100",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423821",
            "telephone_number": "410-480-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONEL",
        "first_name": "DON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Renee Copeland, RPH
• Julie Copley, OTR
• Chanda Carmela Corbett, PHD
• Samantha Cornelius
• Corey Cornick, SSP, NCSP
• Lauren Corrigan, M.S, CCC-SLP
• Dominic Costabile
• Courage Counseling LLC
• Tracy Lamar Courtney, M.D.
• Frederick Robert Cowie II, COTA/L

• Dentist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dentist in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.