Active NPI
Matthew Howard Coons, D.D.S.
- Dentist
- Atascadero, CA
National Provider Identifier
1750609301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN10100
- Practice address
- 5988 W. Mall
Atascadero, CA 93422 - Phone
- (805) 466-9338
- Fax
- (303) 280-4533
- NPI assigned
- May 6, 2010
- Last updated
- Jan 26, 2022
- 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 | DEN10100 | CO | Primary |
Addresses
Primary practice location
5988 W. Mall
Atascadero, CA 93422
Mailing address
13691 Colorado Blvd.
Suite 109
Thornton, CO 80602
Phone (303) 920-2273
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 |
|---|---|---|---|
| DEN10100 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunters Glen Dental Professionals | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comfort Dental Hunters Glen
- General Practice Dentistry
- Thornton, CO
- NPI 1063730497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1750609301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13691 COLORADO BLVD.",
"address_2": "SUITE 109",
"city": "THORNTON",
"state": "CO",
"postal_code": "80602",
"telephone_number": "303-920-2273",
"fax_number": "303-280-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5988 W. MALL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "93422",
"telephone_number": "805-466-9338",
"fax_number": "303-280-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONS",
"first_name": "MATTHEW",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-06",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN10100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.