Phillip Lewis Coker, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

8603 Issued in SC

Practice address

415 W Palmetto St
Florence, SC 29501-4424

Phone

(843) 662-1596

Fax

(843) 662-4714

NPI assigned

Sep 8, 2015

Sex

Male

Sole proprietor

No

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 SC

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 and National Provider Directory roles.

• Carolina Regional Dental, P.a.

  • Dentist
  • Florence, SC
  • NPI 1639365745
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1922476910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596",
            "fax_number": "843-662-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014424",
            "telephone_number": "843-662-1596",
            "fax_number": "843-662-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "PHILLIP",
        "middle_name": "LEWIS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Coe
• Jodi Cogburn
• Edna Nicole Cogdell-Quick, LPC, MAC, LAC, CACII
• Ellie Cogdell
• La'Keisha Coker, MS,RD,LD
• Rachael Coker
• Shelley Lovell Coker, NNP
• Steven Coker, MD
• Al Coldtrain, MSW
• Rachel Laurin Cole, BSN, RN

• Dentist in Florence, SC
• Providers in Florence, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.