Clifford Weston Coolidge, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24373 Issued in CA

Practice address

500 E Remington Dr
#22
Sunnyvale, CA 94087-2657

Phone

(408) 736-4344

Fax

(408) 736-0560

NPI assigned

Mar 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clifford W. Coolidge D.D.S., Inc.

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1134253149
  NPD (past) Authorized official
• Kevin J. Coolidge DDS Inc.

  • Dental Clinic/Center
  • Sunnyvale, CA
  • NPI 1255817375
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861524340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR",
            "address_2": "#22",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872657",
            "telephone_number": "408-736-4344",
            "fax_number": "408-736-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR",
            "address_2": "#22",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872657",
            "telephone_number": "408-736-4344",
            "fax_number": "408-736-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "CLIFFORD",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Congruence Physical Therapy and Wellness Inc
• Tasha Connolly, PT
• Lauren Consolazio, FNP
• Danielle Conway Littlehale, PT, DPT
• Christine Sue Cook, D.D.S.
• Kevin James Coolidge, D.D.S.
• Darrell Corben, M.D.
• George Jean Corbiere III, DPT
• Paolo Victor Cordero, AUD
• Zoe T. Cordova, D.C.

• General Practice Dentistry in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.