Coppell Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COPPELL MODERN DENTISTRY, PC

Doing business as

Coppell Modern Dentistry

Practice address

230 N Denton Tap Rd Ste 115
Coppell, TX 75019-2134

Phone

(972) 393-9933

Fax

(972) 393-3406

NPI assigned

Feb 8, 2011

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John S Barnes, DDS

Title

Owner Doctor

Phone

(972) 393-9933

Specialties & licenses 1

Addresses

Other names 1

• Coppell Modern Dentistry Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haritha Sambaraju, DDS

  • Dentist
  • Coppell, TX
  • NPI 1447426150
  NPD (past)
• Olivia Rae Santillan, DDS

  • Dentist
  • Coppell, TX
  • NPI 1780113852
  NPD (past)
• Warda Wyne, DDS

  • General Practice Dentistry
  • Coppell, TX
  • NPI 1205742400
  NPD (past)
• Shinan Guo, DMD

  • Dentist
  • NPI 1396231478
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1437455433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-471-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N DENTON TAP RD STE 115",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192134",
            "telephone_number": "972-393-9933",
            "fax_number": "972-393-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "972-393-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppell Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coppell Family Medical Center, P.a.
• Coppell Family Therapy PC
• Coppell Family Therapy PLLC
• Coppell Independent School District
• Coppell Minor Emergency Center P.a. (Charles J. O'Hearn, M.D., P.A.)
• Coppell Oral and Facial Surgery, PLLC (Coppell Oral and Facial Surgery)
• Coppell Psychiatric Care Inc.
• Coppell SNF Operations LLC (Sandy Lake Rehabilitation and Care Center)
• Coppell Speech Therapy
• Coppell Spine & Sports Rehab Limited Partnership (Therapy Partners of North Texas)

• General Practice Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.