Heidi Coggan, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

476 Issued in CA

Practice address

7509 Draper Ave
#302
La Jolla, CA 92037-4862

Phone

(858) 754-8557

Fax

(858) 750-2045

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Fleischaker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1801220447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 DRAPER AVE",
            "address_2": "#302",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374862",
            "telephone_number": "702-580-8885",
            "fax_number": "858-750-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 DRAPER AVE",
            "address_2": "#302",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374862",
            "telephone_number": "858-754-8557",
            "fax_number": "858-750-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGAN",
        "first_name": "HEIDI",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "FLEISCHAKER",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gavin Drew Cobb, DO
• Marjorie Coburn, PH.D.
• Alvin Bob Coda, M.D.
• Daniel J Coden, MD
• Stephanie Coffin, OTD, OTR/L
• Phillip Daniel Cohen-Lyons, M.D.
• Cori D Cohen, RD
• David Cohen, M.D.
• Edward Steven Cohen, M.D.
• Heather McCracken Cohen, MPH, RD

• Advanced Practice Dental Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.