NPIMap

Individual provider Active NPI

Dayana Noemy Coffler, DMD

  • Dentist
  • Vista, CA
National Provider Identifier
1861516486
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
CALIFORNIA 47869 Issued in CA
Practice address
1235 W Vista Way
Suite a
Vista, CA 92083-6234
Phone
(760) 726-7777
Fax
(760) 732-1398
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CALIFORNIA 47869 CA Primary
Dentist 122300000X OHIO 30021816 OH

Addresses

Primary practice location

1235 W Vista Way
Suite a
Vista, CA 92083-6234

Mailing address

1235 W Vista Way
Suite a
Vista, CA 92083-6234
Phone (760) 726-7777

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

LicenseStateTypeSpecialty
CALIFORNIA 47869CAMDDentist
OHIO 30021816OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1861516486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W VISTA WAY",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836234",
            "telephone_number": "760-726-7777",
            "fax_number": "760-732-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VISTA WAY",
            "address_2": "SUITE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836234",
            "telephone_number": "760-726-7777",
            "fax_number": "760-732-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFLER",
        "first_name": "DAYANA",
        "middle_name": "NOEMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CALIFORNIA 47869",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "OHIO 30021816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.