Active NPI
Alexis Coates
- Dentist
- Beloit, WI
National Provider Identifier
1013609403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6002268
- Practice address
- 2101 S Riverside Dr
Beloit, WI 53511-2932 - Phone
- (269) 753-2137
- NPI assigned
- May 23, 2023
- Last updated
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6002268 | WI | Primary |
Addresses
Primary practice location
2101 S Riverside Dr
Beloit, WI 53511-2932
Mailing address
10957 Cape Cod LN
Huntley, IL 60142-6782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1013609403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10957 CAPE COD LN",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601426782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S RIVERSIDE DR",
"city": "BELOIT",
"state": "WI",
"postal_code": "535112932",
"telephone_number": "269-753-2137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6002268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.