Individual provider Active NPI

Cheryl R Coggins, DDS

  • Dentist
  • Smyrna, TN
National Provider Identifier
1962716472
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5154 Issued in TN
Practice address
440 Sam Ridley Pkwy W Ste 140
Smyrna, TN 37167-2999
Phone
(615) 625-2910
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5154 TN Primary

Addresses

Primary practice location

440 Sam Ridley Pkwy W Ste 140
Smyrna, TN 37167-2999

Mailing address

105 Shady Hollow Dr
Mount Juliet, TN 37122-7840
Phone (615) 243-3581

Other identifiers 2

IdentifierTypeStateIssuer
5154OtherTNTENNESSEE STATE LICENSE
1520633MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20180110000531 TN Order and Referring Only - DentistPractitioner - Dentist 8820357205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5154TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Coggins DDS PLLC Current Accepting new patients

Locations

900 Conference Dr
Ste 6A
Goodlettsville, TN 37072
Phone (205) 837-0330

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1962716472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SHADY HOLLOW DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227840",
            "telephone_number": "615-243-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAM RIDLEY PKWY W STE 140",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371672999",
            "telephone_number": "615-625-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "CHERYL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE LICENSE",
            "identifier": "5154",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520633",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.