Active NPI
Karen K. Coello, D.M.D.
- General Practice Dentistry
- Boca Raton, FL
National Provider Identifier
1417975327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10927
- Practice address
- 1700 S Dixie Hwy
Suite 103
Boca Raton, FL 33432-7452 - Phone
- (561) 368-4057
- Fax
- (561) 368-3405
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10927 | FL | Primary |
Addresses
Primary practice location
1700 S Dixie Hwy
Suite 103
Boca Raton, FL 33432-7452
Mailing address
1700 S Dixie Hwy
Suite103
Boca Raton, FL 33432-7452
Phone (561) 368-4057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10927 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos a Coello DMD PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Boca Raton, FL
- NPI 1750751038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1417975327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S DIXIE HWY",
"address_2": "SUITE103",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327452",
"telephone_number": "561-368-4057",
"fax_number": "561-368-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S DIXIE HWY",
"address_2": "SUITE 103",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327452",
"telephone_number": "561-368-4057",
"fax_number": "561-368-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELLO",
"first_name": "KAREN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "10927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.