NPIMap

Organization Active NPI

WM Trevor Coffee DDS PA

  • Dentist
  • Hope, AR
National Provider Identifier
1790907475
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3432 Issued in AR
Legal business name
WM TREVOR COFFEE DDS PA
Practice address
901 S Elm St
Hope, AR 71801-6518
Phone
(870) 777-2577
Fax
(870) 777-2587
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
William Trevor Coffee, DDSNPI 1720146590
Title
President
Phone
(870) 777-2577

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3432 AR Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3432 AR

Addresses

Primary practice location

901 S Elm St
Hope, AR 71801-6518

Mailing address

901 S Elm St
Hope, AR 71801-6518
Phone (870) 777-2577

National Provider Directory

National Provider Directory

Locations

901 S Elm St
Hope, AR 71801
Phone (870) 777-0545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1790907475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ELM ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718016518",
            "telephone_number": "870-777-2577",
            "fax_number": "870-777-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ELM ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718016518",
            "telephone_number": "870-777-2577",
            "fax_number": "870-777-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM TREVOR COFFEE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TREVOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-777-2577",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3432",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.