Individual provider Active NPI

Christine Jeanette Coke, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Allen, TX
National Provider Identifier
1528021672
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18782 Issued in TX
Practice address
107 Suncreek Dr
Suite 200
Allen, TX 75013-2833
Phone
(214) 383-1380
Fax
(214) 383-1379
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18782 TX Primary

Addresses

Primary practice location

107 Suncreek Dr
Suite 200
Allen, TX 75013-2833

Mailing address

107 Suncreek Dr
Suite 200
Allen, TX 75013-2833
Phone (214) 383-1380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2011 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18782TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Christine J. Coke, DDS, MD, PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1528021672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNCREEK DR",
            "address_2": "SUITE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132833",
            "telephone_number": "214-383-1380",
            "fax_number": "214-383-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNCREEK DR",
            "address_2": "SUITE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132833",
            "telephone_number": "214-383-1380",
            "fax_number": "214-383-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKE",
        "first_name": "CHRISTINE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.