DR. DANIEL B COLES DDS, FAGD
NPI 1245313121
Dentist - General Practice in American Fork, UT

Active since October 23, 2006Opted out of Medicare · through Feb 12, 2028
12 S 1100 E, AMERICAN FORK, UT 84003(801) 756-3737(801) 756-0504 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel B Coles Dds, Fagd NPPES

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

DR. DANIEL B COLES DDS, FAGD (NPI 1245313121) is an individual general practice provider in American Fork, Utah, licensed in Utah (138464) and active in the NPI registry since October 2006. He has opted out of Medicare through February 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245313121
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL B COLESCredential: DDS, FAGD
Location Address12 S 1100 EAmerican Fork, UT 84003-2815
Mailing Address12 S 1100 EAmerican Fork, UT 84003-2815 · (801) 756-3737 · Fax (801) 756-0504
Fax(801) 756-0504
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1245313121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 138464
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.

12 S 1100 E, American Fork, UT 84003

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Daniel B Coles Dds, Fagd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2016 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2016
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
12 S 1100 E
AMERICAN FORK, UT 84003
Dentist (General Practice)
12 S 1100 E
AMERICAN FORK, UT 84003
Dentist (General Practice)
12 S 1100 E
AMERICAN FORK, UT 84003
Dentist (General Practice)
12 S 1100 E
AMERICAN FORK, UT 84003

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 Daniel Coles's NPI number?

The NPI number for Daniel Coles is 1245313121. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Daniel Coles located?

Daniel Coles practices at 12 S 1100 E, American Fork, UT 84003. The listed phone number is (801) 756-3737.

What is Daniel Coles's specialty?

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

Is Daniel Coles enrolled in Medicare?

No. Daniel Coles has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Coles accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 4 other insurers list Daniel Coles 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 Daniel Coles was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.