David A Cotant, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE00003794 Issued in WA

Practice address

9101 Bridgeport Way SW
Suite B2
Lakewood, WA 98499-2419

Phone

(253) 584-0858

Fax

(253) 584-1446

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Tracy R. Johnson, DDS, PS

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Orchard, WA
  • NPI 1376718957
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1689708620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "SUITE B2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-584-0858",
            "fax_number": "253-584-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "SUITE B2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-584-0858",
            "fax_number": "253-584-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTANT",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00003794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER PTAN",
            "identifier": "G8892465",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5385307",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen James Corrall II, MD
• Max Corthell
• Kristen M Costello, PT
• Martha Costello, D.C.
• Matthew Philip Coston
• Jared Coudron, D.D.S.
• Damion Coughlin
• James Counts
• Jessica Courneya
• Ian David Cowan, MD

• Oral and Maxillofacial Surgery (Dentist) in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.