Active NPI
Michael Dean Cole, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Burleson, TX
National Provider Identifier
1841390473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 14389
- Practice address
- 12001 South Freeway
Suite 207
Burleson, TX 76028 - Phone
- (817) 568-6811
- Fax
- (817) 568-6813
- NPI assigned
- Sep 24, 2006
- Last updated
- May 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 14389 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 14389 | TX | Primary |
Addresses
Primary practice location
12001 South Freeway
Suite 207
Burleson, TX 76028
Mailing address
12001 South Freeway
Suite 207
Burleson, TX 76028
Phone (817) 568-6811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14389 | Other | TX | TEXAS STATE BOARD OF DENT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14389 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241136000000",
"number": "1841390473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 SOUTH FREEWAY",
"address_2": "SUITE 207",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-568-6811",
"fax_number": "817-568-6813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 SOUTH FREEWAY",
"address_2": "SUITE 207",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-568-6811",
"fax_number": "817-568-6813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MICHAEL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2009-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "TX",
"license": "14389",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "14389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF DENT",
"identifier": "14389",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
- Oscar Samuel Claros, FNP
- CLC Therapy Solutions LLC (Children's Therapy Solutions)
- Clinical Nephrology Associates, PA
- Maria Elisa Clyne
- Dana Renee Cohn
- Tiffany Cole, CSFA
- Jordyn Gabrielle Collins, PHARMD
- Colony Homes, Inc (Colony Health Care)
- Comfort Cpa Care LLC (Felicia Fields Tucker)
- Complete DC, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.