NPIMap

Organization Active NPI

DRS Coleman & Coleman

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Cornelius, NC
National Provider Identifier
1497931976
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
8525 Issued in NC
Legal business name
DRS COLEMAN & COLEMAN
Doing business as
Carolina Oral & Facial Surgery
Practice address
19910 North Cove Rd
Cornelius, NC 28031
Phone
(704) 892-1198
Fax
(704) 439-1189
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mrs. Connie Sue Coleman
Title
Office Manager
Phone
(704) 892-1198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X 5352 NC
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X 8525 NC Primary

Addresses

Primary practice location

19910 North Cove Rd
Cornelius, NC 28031

Mailing address

19910 North Cove Rd
Cornelius, NC 28031
Phone (704) 892-1198

Other names 1

  • Carolina Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

19910 North Cove Rd
Cornelius, NC 28031
Phone (704) 892-1198

Practitioners & affiliated clinicians

Practitioners 4

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1497931976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19910 NORTH COVE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031",
            "telephone_number": "704-892-1198",
            "fax_number": "704-439-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19910 NORTH COVE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031",
            "telephone_number": "704-892-1198",
            "fax_number": "704-439-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS COLEMAN & COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-892-1198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "5352",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "8525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.