Christopher Derrick Coleman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016154 Issued in GA

Practice address

229 Carl Vinson Pkwy
Warner Robins, GA 31088-9902

Phone

(478) 922-4922

NPI assigned

Oct 14, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Care Center of Macon, PC

  dba Dental Care Center

  • Dentist
  • Macon, GA
  • NPI 1689451049
  NPD
• Dental Associates of Warner Robins, LLC

  • General Practice Dentistry
  • Warner Robins, GA
  • NPI 1356488118
  NPD (past)
• Professional Dental Alliance Warner Robins C Vinson Pky, LLC

  dba Dental Associates of Warner Robins

  • Dentist
  • Warner Robins, GA
  • NPI 1013488139
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1518565217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LOXLEY DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 CARL VINSON PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889902",
            "telephone_number": "478-922-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Mercer University Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312044902",
            "country_code": "US",
            "telephone_number": "478-755-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaekea Coar, NP
• Chani E Cochran, LCSW
• Jeffrey N. Cofie
• Veronica Cohen
• Vontreia Colbert, PHYSICAL THERAPIST
• Deborah Denise Coleman
• Lamarr Coleman
• Angelica Ross Collins
• Christy Collins, SLP
• Geneva Kaylee Collins, PTA

• General Practice Dentistry in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.