John Paul Coolican, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028134L Issued in PA

Practice address

803 S Main Ave
Scranton, PA 18504-2757

Phone

(570) 343-8166

Fax

(570) 343-1460

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• John P Coolican DMD, Inc

  • Dental Clinic/Center
  • Scranton, PA
  • NPI 1023405552
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689693194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042757",
            "telephone_number": "570-343-8166",
            "fax_number": "570-343-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042757",
            "telephone_number": "570-343-8166",
            "fax_number": "570-343-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLICAN",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028134L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Connors
• Arlene Julia Conserette, PA-C
• Teresa M. Conte, CRNP
• Meghan Conway
• Alicia Coolbaugh, MS,OTR/L
• Sarah R Cooper
• Thalia Cordaro, CRNP
• Michael A. Cortes, M.D.
• James Cortese, MD
• Mary Jane Cosgrove, O.D.

• General Practice Dentistry in Scranton, PA
• Providers in Scranton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.