Active NPI
Mary Veronica Coffey Gaddis, D.D.S.
- Dentist
- Durham, NC
National Provider Identifier
1780801720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7761
- Practice address
- 2003 E NC Highway 54
Durham, NC 27713-2482 - Phone
- (919) 484-8088
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 | 7761 | NC | Primary |
Addresses
Primary practice location
2003 E NC Highway 54
Durham, NC 27713-2482
Mailing address
2003 E NC Highway 54
Durham, NC 27713-2482
Phone (919) 484-8088
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 |
|---|---|---|---|
| 7761 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1780801720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 E NC HIGHWAY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132482",
"telephone_number": "919-484-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 E NC HIGHWAY 54",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132482",
"telephone_number": "919-484-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDIS",
"first_name": "MARY",
"middle_name": "VERONICA COFFEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.