Active NPI
Christopher David Coyner, DDS
- Dentist
- Williamsport, PA
National Provider Identifier
1689891251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS-037012
- Practice address
- 469 Hepburn St
Williamsport, PA 17701-6122 - Phone
- (570) 567-5400
- NPI assigned
- Apr 18, 2007
- Last updated
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS-037012 | PA | Primary |
Addresses
Primary practice location
469 Hepburn St
Williamsport, PA 17701-6122
Mailing address
297 Bush Hollow Rd
Pennsdale, PA 17756
Phone (570) 546-0399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000348 | PA | Order and Referring Only - Dentist | 5890007231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-037012 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1689891251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 BUSH HOLLOW RD",
"city": "PENNSDALE",
"state": "PA",
"postal_code": "17756",
"telephone_number": "570-546-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 HEPBURN ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177016122",
"telephone_number": "570-567-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNER",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS-037012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.