Active NPI
Craig Coombs, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Layton, UT
National Provider Identifier
1962809673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 138105
- Practice address
- 2185 N 1700 W
Suite 203
Layton, UT 84041-1154 - Phone
- (801) 773-5836
- NPI assigned
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 138105 | UT | Primary |
Addresses
Primary practice location
2185 N 1700 W
Suite 203
Layton, UT 84041-1154
Mailing address
2185 N 1700 W
Suite 203
Layton, UT 84041
Phone (801) 773-5836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265652077 | Other | UT | NPI TYPE 2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151009000492 | UT | Order and Referring Only - Other (Physician) | 3274841325 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138105 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1962809673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 N 1700 W",
"address_2": "SUITE 203",
"city": "LAYTON",
"state": "UT",
"postal_code": "84041",
"telephone_number": "801-773-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 N 1700 W",
"address_2": "SUITE 203",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411154",
"telephone_number": "801-773-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMBS",
"first_name": "CRAIG",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "138105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2",
"identifier": "1265652077",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.