Individual provider Active NPI

Shauna Gaumer Coen, D.M.D.

  • Dentist
  • Orlando, FL
National Provider Identifier
1508987470
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17751 Issued in FL
Practice address
8801 Commodity Cir
Orlando, FL 32819-9053
Phone
(407) 248-0100
Fax
(407) 248-8364
NPI assigned
Apr 2, 2007
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17751 FL Primary

Addresses

Primary practice location

8801 Commodity Cir
Orlando, FL 32819-9053

Mailing address

8801 Commodity Cir
Orlando, FL 32819-9053
Phone (407) 248-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160108000902 FL Order and Referring Only - DentistPractitioner - Dentist 1850693797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southpark Dental Group Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1508987470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199053",
            "telephone_number": "407-248-0100",
            "fax_number": "407-248-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199053",
            "telephone_number": "407-248-0100",
            "fax_number": "407-248-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "SHAUNA",
        "middle_name": "GAUMER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.