Michael Matthew Coffey, L.D.

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000399 Issued in WA

Practice address

616 E Front St
Port Angeles, WA 98362-3320

Phone

(360) 457-6131

Fax

(360) 457-6215

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417001280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623320",
            "telephone_number": "360-457-6131",
            "fax_number": "360-457-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623320",
            "telephone_number": "360-457-6131",
            "fax_number": "360-457-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MICHAEL",
        "middle_name": "MATTHEW",
        "credential": "L.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5048269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Elizabeth Clarke, MSED DMD
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• Beckett Teal Cohen, DC, MS
• Kirk A Cole, MD
• Glenda Jeannette Coleman, CDP
• Collaborative Counseling LLC
• Ann D Colley, M.ED., LMHC, LMFT

• Denturist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Denturist in Washington

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

Verify at the official NPI Registry.