NPIMap

Organization Active NPI

Walter I. Coleman, DDS, PLLC

  • Dental Clinic/Center
  • Fremont, MI
National Provider Identifier
1568777290
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901018831 Issued in MI
Legal business name
WALTER I. COLEMAN, DDS, PLLC
Practice address
111 W Dayton St
Fremont, MI 49412-1112
Phone
(231) 924-3600
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Walter Coleman, DDSNPI 1437116316
Title
Owner
Phone
(616) 606-0337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901018831 MI Primary

Addresses

Primary practice location

111 W Dayton St
Fremont, MI 49412-1112

Mailing address

111 W Dayton St
Fremont, MI 49412-1112
Phone (231) 924-3600

National Provider Directory

National Provider Directory

Locations

111 W Dayton St
Fremont, MI 49412
Phone (231) 924-3600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1568777290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W DAYTON ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121112",
            "telephone_number": "231-924-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W DAYTON ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121112",
            "telephone_number": "231-924-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER I. COLEMAN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-606-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901018831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.