Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. LOGAN WAYNE COFFEE
NPI 1164465399
Dentist - General Practice in Vian, OK

Active since June 14, 2006PECOS Enrolled
HIGHWAY 83 SOUTH AND I-40 JUNCTION, VIAN, OK 74962(918) 773-6200(918) 773-6201 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Logan Wayne Coffee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LOGAN WAYNE COFFEE (NPI 1164465399) is an individual general practice provider in Vian, Oklahoma, licensed in Oklahoma (5317) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164465399
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. LOGAN WAYNE COFFEE
Location AddressHIGHWAY 83 SOUTH AND I-40 JUNCTIONVian, OK 74962
Mailing AddressPo Box 412Vian, OK 74962-0412 · (918) 773-6200 · Fax (918) 773-6201
Fax(918) 773-6201
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1164465399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5317
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
HIGHWAY 83 SOUTH AND I-40 JUNCTION, Vian, OK 74962

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Logan Wayne Coffee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74962 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Coffee's NPI number?

The NPI number for Logan Coffee is 1164465399. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Logan Coffee located?

Logan Coffee practices at Highway 83 South And I-40 Junction, Vian, OK 74962. The listed phone number is (918) 773-6200.

What is Logan Coffee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Logan Coffee enrolled in Medicare?

Yes. Logan Coffee is registered in the Medicare PECOS enrollment system.

What insurance does Logan Coffee accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Logan Coffee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Coffee was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.