Active NPI
Allyn J Coleman, DMD, MS
- Prosthodontics
- Pineville, LA
National Provider Identifier
1891723904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 046124
- Practice address
- Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360-4044 - Phone
- (318) 473-0010
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 046124 | NY | Primary |
Addresses
Primary practice location
Alexandria VA Health Care System
2495 Shreveport Highway
Pineville, LA 71360-4044
Mailing address
1354 S 117TH St
West Allis, WI 53214-2127
Phone (414) 258-0281
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046124 | NY | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1891723904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 S 117TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142127",
"telephone_number": "414-258-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALEXANDRIA VA HEALTH CARE SYSTEM",
"address_2": "2495 SHREVEPORT HIGHWAY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-473-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ALLYN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2023-07-13",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "046124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.