Courtney Michelle Coleman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DENT.DE.61458660 Issued in WA

Practice address

17126 Redmond Way
Redmond, WA 98052-4405

Phone

(425) 224-8141

NPI assigned

Aug 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Washington Dental Corporation, PC

  • Dentist
  • Redmond, WA
  • NPI 1023584026
  NPD (past)

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1508649344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 1ST AVE S APT 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042546",
            "telephone_number": "206-209-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17126 REDMOND WAY",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524405",
            "telephone_number": "425-224-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.61458660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Clever, PT
• Maggon M Coale
• Deborah Cobb, LMP
• Nicholas Dwayne Cobble, PTA
• Josef Vantil Coers, LMHC
• Maria Rizza Duran Collantes, M.D.
• Jordan Mark Collier, DO
• Robert Bryant Collins, OD
• Audrey Comber
• Suzanne Gabrielle Lynn Comeau-Gillis, LMT

• Dentist in Redmond, WA
• Providers in Redmond, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.