NPIMap

Organization Active NPI

Carlos a Coello DMD PA

  • General Practice Dentistry
  • Boca Raton, FL
National Provider Identifier
1750751038
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12137 Issued in FL
Legal business name
CARLOS A COELLO DMD PA
Practice address
1700 S Dixie Hwy
Suite 103
Boca Raton, FL 33432-7452
Phone
(561) 368-4057
Fax
(561) 368-3405
NPI assigned
Sep 30, 2015
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Dr. Carlos A. Coello, DMDNPI 1003838525
Title
Owner
Phone
(561) 368-4057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
General Practice Dentistry 1223G0001X DN12137 FL Primary

Addresses

Primary practice location

1700 S Dixie Hwy
Suite 103
Boca Raton, FL 33432-7452

Mailing address

1700 S Dixie Hwy
Suite 103
Boca Raton, FL 33432-7452
Phone (561) 368-4057

Other identifiers 1

IdentifierTypeStateIssuer
DN12137OtherFLDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

1700 S Dixie Hwy
Ste 103
Boca Raton, FL 33432
Phone (561) 368-4057

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1750751038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327452",
            "telephone_number": "561-368-4057",
            "fax_number": "561-368-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S DIXIE HWY",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327452",
            "telephone_number": "561-368-4057",
            "fax_number": "561-368-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A COELLO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "COELLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-368-4057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN12137",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.