Nancy Beth Coldiron, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2452 Issued in SC

Practice address

968 Ribaut Road
Suite 3
Beaufort, SC 29902

Phone

(843) 525-0900

Fax

(843) 525-0380

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 15, 2017 through Feb 15, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972511889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIBAUT ROAD",
            "address_2": "SUITE 3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-525-0900",
            "fax_number": "843-525-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIBAUT ROAD",
            "address_2": "SUITE 3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-525-0900",
            "fax_number": "843-525-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDIRON",
        "first_name": "NANCY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "550909",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Physical Therapy Inc
• John Coates, IDC
• Heather L Coker, M.ED
• Susan R Coker, PA
• Kenneth Clough Colby, PA C
• Audrey Michelle Cole-Leatherwood, RN
• Jessica McAbee Coleman, M.D.
• Lawrence R Coleman, M.D.
• Samuel C Collier
• Thomas Michael Collins, PH.D.

• Periodontics in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.