Active NPI
Delaine Cole McCoy, D.D.S.
- Dentist
- Mission Viejo, CA
National Provider Identifier
1407190028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61969
- Practice address
- 26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325 - Phone
- (949) 951-1067
- Fax
- (949) 951-1407
- NPI assigned
- Nov 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61969 | CA | Primary |
Addresses
Primary practice location
26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325
Mailing address
26137 La Paz Rd Ste 100
Mission Viejo, CA 92691-5325
Phone (949) 951-1067
Other names 1
- Delaine Cole-Richards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314001866 | CA | Order and Referring Only - Dentist | 0547566788 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard K. Hada, DMD, PC | Past | Accepting new patients | |
| Roger S. Cullen Dental Corp. | Dentist | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Mission Viejo, CA
- NPI 1417041260
-
- Dentist
- Mission Viejo, CA
- NPI 1386859528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1407190028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26137 LA PAZ RD STE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915325",
"telephone_number": "949-951-1067",
"fax_number": "949-951-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26137 LA PAZ RD STE 100",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915325",
"telephone_number": "949-951-1067",
"fax_number": "949-951-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "DELAINE",
"middle_name": "COLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DELAINE",
"last_name": "COLE-RICHARDS",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.