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ISAAC CORONEL
NPI 1609550912
Dentist - Dental Public Health in Saint Louis, MO

Active since June 15, 2023PECOS Enrolled
1500 PARK AVE, SAINT LOUIS, MO 63104(314) 814-8700 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Isaac Coronel NPPES

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

ISAAC CORONEL (NPI 1609550912) is an individual dental public health provider in Saint Louis, Missouri, licensed in Missouri (123) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609550912
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameISAAC CORONEL
Location Address1500 PARK AVESaint Louis, MO 63104-3024
Mailing Address6018 Arthur AveSaint Louis, MO 63139-1915
Phone(314) 814-8700
Sole ProprietorYes
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1609550912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in MO · 123
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
1500 PARK AVE, Saint Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Isaac Coronel 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 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

YASMEEN FATIMA
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 814-8700
CADEN HEATON
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (801) 603-1633
KATHERINE GRACE RUDDELL
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 252-8429
IQRA AZFAR
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (866) 626-2878
JAMIL SEIDU
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
ABRAHAM A. HARAKE
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (734) 666-8281
FAISAL KHAN
Student in an Organized Health Care Education/Training Program
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700
DAKSH DESAI
Counselor (Addiction (Substance Use Disorder))
1500 PARK AVE
SAINT LOUIS, MO 63104
St. Louis City (314) 833-2700

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 Isaac Coronel's NPI number?

The NPI number for Isaac Coronel is 1609550912. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Isaac Coronel located?

Isaac Coronel practices at 1500 Park Ave, Saint Louis, MO 63104. The listed phone number is (314) 814-8700.

What is Isaac Coronel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Isaac Coronel enrolled in Medicare?

Yes. Isaac Coronel is registered in the Medicare PECOS enrollment system.

What insurance does Isaac Coronel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 15 other insurers list Isaac Coronel 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 Isaac Coronel was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.