Jonathan Coulon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30078 Issued in TX

Practice address

3000 N Garfield St
Suite 220
Midland, TX 79705-6400

Phone

(432) 683-5313

Fax

(432) 683-8195

NPI assigned

Jul 2, 2014

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 TX

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.

• Coulon Dental Care

  • Dentist
  • Midland, TX
  • NPI 1073920864
  NPD (past)
• Coulon Dental Care

  dba Coulon Dental

  • General Practice Dentistry
  • Midland, TX
  • NPI 1114511656
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1932515616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST",
            "address_2": "SUITE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056400",
            "telephone_number": "432-683-5313",
            "fax_number": "432-683-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N GARFIELD ST",
            "address_2": "SUITE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797056400",
            "telephone_number": "432-683-5313",
            "fax_number": "432-683-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULON",
        "first_name": "JONATHAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Pharmacy #1756)
• Costco Wholesale Corporation (Costco Hearing Aid #1756)
• Costco Wholesale Corporation (Costco Optical #1756)
• Coulon Dental Care
• Coulon Dental Care (Coulon Dental)
• Jordan Coulon
• Stephanie Coulon, LPC ASSOCIATE
• Steve Ryan Coulon, DDS
• Michael Clay Courter, D.D.S.
• Courtyard Primary Care & Medical Spa,PA

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.