Organization Active NPI

W Stephen Coker DMD PA

  • Dentist
  • Cary, NC
National Provider Identifier
1497772842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6021 Issued in NC
Legal business name
W STEPHEN COKER DMD PA
Doing business as
Parkway Dental
Practice address
3600 NW Cary Parkway
Suite 115
Cary, NC 27513
Phone
(919) 380-9622
Fax
(919) 380-9758
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie Ann Rodely
Title
Office Manager
Phone
(919) 380-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6021 NC Primary

Addresses

Primary practice location

3600 NW Cary Parkway
Suite 115
Cary, NC 27513

Mailing address

3600 NW Cary Parkway
Suite 115
Cary, NC 27513
Phone (919) 380-9622

Other identifiers 1

IdentifierTypeStateIssuer
8991705MedicaidNC

Other names 1

  • Parkway Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3600 NW Cary Pkwy
Ste 115
Cary, NC 27513
Phone (919) 380-9622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497772842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW CARY PARKWAY",
            "address_2": "SUITE 115",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-380-9622",
            "fax_number": "919-380-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW CARY PARKWAY",
            "address_2": "SUITE 115",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-380-9622",
            "fax_number": "919-380-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W STEPHEN COKER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODELY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-380-9622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.