Active NPI
Mary Coyne, DMD
- Dentist
- Palmer, AK
National Provider Identifier
1740319789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 982
- Practice address
- 11951 E Palmer Wasilla Hwy
Palmer, AK 99645 - Phone
- (907) 745-6288
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- 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 | 982 | AK | Primary |
Addresses
Primary practice location
11951 E Palmer Wasilla Hwy
Palmer, AK 99645
Mailing address
11951 E Palmer Wasilla Hwy
Palmer, AK 99645
Phone (907) 745-6288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477288 | Other | AL | UNITED CONCORDIA |
| DD7512 | Medicaid | AL |
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 |
|---|---|---|---|
| 982 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740319789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11951 E PALMER WASILLA HWY",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-745-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11951 E PALMER WASILLA HWY",
"city": "PALMER",
"state": "AK",
"postal_code": "99645",
"telephone_number": "907-745-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "MARY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "477288",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD7512",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
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.