Shannon Mara Coen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D7588 Issued in AZ

Practice address

16080 N 59TH Ave
Suite a
Glendale, AZ 85306-2339

Phone

(602) 978-1100

Fax

(602) 419-2244

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shannon Mara Coen Koenig Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shannon M. Coen D.M.D, PC

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1659793115
  NPD (past) Authorized official

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1497900914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16080 N. 59TH AVENUE",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062339",
            "telephone_number": "602-978-1100",
            "fax_number": "602-419-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16080 N 59TH AVE",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062339",
            "telephone_number": "602-978-1100",
            "fax_number": "602-419-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "SHANNON",
        "middle_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "KOENIG",
            "middle_name": "MARA COEN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Cochran, LCSW
• Ann Denise Cockfield, MS, CCC-SLP
• Sierra Cocoba
• Melanie Kristen Cody, FNP-C
• Matthew David Coen, D.C.
• Emilie Lynn Coffman, PT, DPT
• Mara Coggin
• Zandra L Coghlan, LPC
• Allison Kristi Jones Cogswell, MA, LPC, BHP
• Annette Cohen

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.

Verify at the official NPI Registry.