Active NPI
Brian Sean Coates, D.D.S
- General Practice Dentistry
- Greensboro, NC
National Provider Identifier
1073533733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6933
- Practice address
- 2707 Pinedale Rd
Suite a
Greensboro, NC 27408-2019 - Phone
- (336) 282-5331
- Fax
- (336) 282-0554
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6933 | NC | Primary |
Addresses
Primary practice location
2707 Pinedale Rd
Suite a
Greensboro, NC 27408-2019
Mailing address
2707 Pinedale Rd
Suite a
Greensboro, NC 27408-2019
Phone (336) 282-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902FM | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6933 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073533733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 PINEDALE RD",
"address_2": "SUITE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082019",
"telephone_number": "336-282-5331",
"fax_number": "336-282-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 PINEDALE RD",
"address_2": "SUITE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082019",
"telephone_number": "336-282-5331",
"fax_number": "336-282-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "BRIAN",
"middle_name": "SEAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902FM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- 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.