Active NPI
John Alden Coleman, D.D.S.
- Dentist
- Vista, CA
National Provider Identifier
1710198189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31032
- Practice address
- 110 Escondido Ave Ste 102
Vista, CA 92084-6058 - Phone
- (760) 726-0770
- Fax
- (760) 726-3753
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 31032 | DC | Primary |
Addresses
Primary practice location
110 Escondido Ave Ste 102
Vista, CA 92084-6058
Mailing address
110 Escondido Ave Ste 102
Vista, CA 92084-6058
Phone (760) 726-0770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31032 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710198189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ESCONDIDO AVE STE 102",
"city": "VISTA",
"state": "CA",
"postal_code": "920846058",
"telephone_number": "760-726-0770",
"fax_number": "760-726-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ESCONDIDO AVE STE 102",
"city": "VISTA",
"state": "CA",
"postal_code": "920846058",
"telephone_number": "760-726-0770",
"fax_number": "760-726-3753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "JOHN",
"middle_name": "ALDEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "31032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- 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.