Chester T Coccia, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8024 Issued in MI

Practice address

39400 Garfield Rd
Suite 200
Clinton Township, MI 48038-4096

Phone

(586) 286-0700

Fax

(586) 286-5969

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

No

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.

• DRS Delaney Plunkett Ralstrom Makowski Thanasas

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton Township, MI
  • NPI 1851408892

  Pediatric Dentistry

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992812911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD",
            "address_2": "SUITE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700",
            "fax_number": "586-286-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIA",
        "first_name": "CHESTER",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "8024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4863067",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Clinton Township, MI
• Pediatric Dentistry in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.