Nathan Daniel James Coughlin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

59884 Issued in CA

Practice address

4150 E Renner Rd Ste 400
Richardson, TX 75082-2820

Phone

(972) 248-9119

NPI assigned

Oct 11, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Breckinridge Dental and Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richardson, TX
  • NPI 1376921528
  NPD (past) Authorized official

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1972855179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 MARINA CITY DR UNIT 743",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925847",
            "telephone_number": "323-898-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E RENNER RD STE 400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822820",
            "telephone_number": "972-248-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "NATHAN",
        "middle_name": "DANIEL JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Cortez
• Elizabeth Ann Cosgray, LPC # 10857
• Kimberly Wood Cossar, OTR
• Cottonwood Family Dental Associates
• Janice Sun Couch, RNFA
• Sierra Judith Coughlin
• Cameron L Coury, MD
• Covalar Therapy and Wellness
• Covenant Plus Health Care, Inc (Ally Home Health)
• Sheryl Ann Cowan, M.D.

• Dentist in Richardson, TX
• Providers in Richardson, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.