Individual provider Active NPI

Richard Mason Coyner, DDS

  • Dentist
  • Gig Harbor, WA
National Provider Identifier
1730303249
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6516 Issued in WA
Practice address
7715 Pioneer Way
Gig Harbor, WA 98332
Phone
(253) 851-9522
Fax
(253) 851-3798
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6516 WA Primary

Addresses

Primary practice location

7715 Pioneer Way
Gig Harbor, WA 98332

Mailing address

7715 Pioneer Way
Gig Harbor, WA 98335
Phone (253) 851-9522

Other identifiers 1

IdentifierTypeStateIssuer
75102OtherTRICARE

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

LicenseStateTypeSpecialty
6516WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter LL Simpson, DDS, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1730303249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 PIONEER WAY",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-851-9522",
            "fax_number": "253-851-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 PIONEER WAY",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-851-9522",
            "fax_number": "253-851-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNER",
        "first_name": "RICHARD",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.