Coconut Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COCONUT DENTAL PLLC

Practice address

6600 Brentwood Stair Rd
Fort Worth, TX 76112-3303

Phone

(817) 457-4141

NPI assigned

May 30, 2020

Organization subpart

No

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

Authorized official

Name

Quang Bui, DDSNPI 1073033916

Title

Dentist

Phone

(720) 630-9378

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Quang Bui

  • General Practice Dentistry
  • Houston, TX
  • NPI 1073033916
  NPD Authorized official

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1679197255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 PARKWOOD DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750481918",
            "telephone_number": "214-677-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 BRENTWOOD STAIR RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123303",
            "telephone_number": "817-457-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "QUANG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-630-9378",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer F Cochrum, L.P.T.
• Juan T Cocjin, MD
• Tom F. Cockerell Jr., DDS
• Emilie K Cockerham, PHARMD
• Wanda Cockran
• Cody Brown DDS PLLC
• Katherine V Cofer, APRN, CPNP-AC
• Lanie Blair Coffey, RDLD
• Jamye L Coffman, MD
• Kaylee Michelle Coffman, PA-C

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.