Coleman Dental Associates Ca, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COLEMAN DENTAL ASSOCIATES CA, A DENTAL CORPORATION

Practice address

2952 Market St
San Diego, CA 92102-3241

Phone

(619) 798-4613

Fax

(619) 798-4613

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Scott Harvey Coleman, DDSNPI 1568564177

Title

Owner

Phone

(713) 781-2800

Specialties & licenses 2

Addresses

Other names 1

• Campus Smiles Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Harvey Coleman, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1568564177
  NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1992348866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SAN FELIPE ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631776",
            "telephone_number": "713-227-6453",
            "fax_number": "855-827-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023241",
            "telephone_number": "619-798-4613",
            "fax_number": "619-798-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 J Street",
            "address_2": "The Well MS 6045",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95819",
            "country_code": "US",
            "telephone_number": "916-500-0439",
            "fax_number": "916-500-0439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Westwood Plaza Suite 211",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900950001",
            "country_code": "US",
            "telephone_number": "310-220-0486",
            "fax_number": "951-262-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLEMAN DENTAL ASSOCIATES CA, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-781-2800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campus Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Emily Cole, MFT
• Taylor Anne Cole
• Toni Sherlita Cole
• Tylia Tiana Cole I
• Thi Bui Colebourn, FNP
• Christina Coleman- Zeman
• Angela D Coleman-Delaney
• Andre Coleman
• Azucena R Coleman, RN
• Benjamin Philip Coleman, PH.D.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

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