Kyle B Coghlan

Primary specialty

DentistTaxonomy code 122300000X

License

10566 Issued in TN

Practice address

299A Indian Lake Blvd
Hendersonville, TN 37075-6384

Phone

(615) 824-2926

Fax

(615) 824-9735

NPI assigned

Oct 2, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760679831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299A INDIAN LAKE BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756384",
            "telephone_number": "615-824-2926",
            "fax_number": "615-824-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299A INDIAN LAKE BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756384",
            "telephone_number": "615-824-2926",
            "fax_number": "615-824-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "KYLE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Dentist in Tennessee

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

Verify at the official NPI Registry.