Marie Coffelt, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401007549 Issued in VA

Practice address

6225 Brandon Ave
Ste 170
Springfield, VA 22150-2526

Phone

(703) 451-3900

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Orthodontics of Virginia LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VA
  • NPI 1053714766
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1538566567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING ST NW",
            "address_2": "STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092864",
            "telephone_number": "404-389-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE",
            "address_2": "STE 170",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502526",
            "telephone_number": "703-451-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFELT",
        "first_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401007549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "0401007549",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orion Clouden
• Coach for Seniors Inc.
• Sarah Cockrill, PT, DPT
• Peter K Cocolis Jr., DMD
• Melissa F Coday, LPTA
• Lindsey Cogswell
• Jasmin Kilayko Cole, M.D.
• Collaborative Community LLC
• Collins Chiropractic, LLC
• Terry Lynn Collins, MS CCC SLP

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.