Joellen Coates

Primary specialty

DentistTaxonomy code 122300000X

License

DE61475737 Issued in WA

Practice address

8820 36TH Ave NE Ste 103
Marysville, WA 98270-7268

Phone

(360) 718-3098

NPI assigned

Mar 10, 2021

Reactivated

Sep 21, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1083299267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 36TH AVE NE STE 103",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707268",
            "telephone_number": "360-718-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 36TH AVE NE STE 103",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707268",
            "telephone_number": "360-718-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Blackmore Rd",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826093345",
            "country_code": "US",
            "telephone_number": "307-233-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 S Richards Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875084887",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "JOELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-09-21",
        "certification_date": "2023-10-11",
        "deactivation_date": "2026-09-10",
        "reactivation_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "1615",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61475737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@chccw.org",
            "affiliation": "N",
            "address_1": "5000 Blackmore Rd",
            "city": "Casper",
            "state": "WY",
            "country_code": "US",
            "postal_code": "826093345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DocumentCollection@pacden.com",
            "affiliation": "N",
            "address_1": "8820 36th Ave NE Ste 103",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982707268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert John Clarke, D.C.
• Bradley B Cleveland, PT
• Chad J. Cleven, DO
• Clinton Scott Timmerman PLLC (Blu Dental & Wellness)
• Annette Leigh Coates, MPT
• Michelle Cochron, PTA
• Enika Cocoli, PH.D.
• Jason Lee Codding, MD
• Colleen Michelle Cola
• Cole Alexander Daom, PLLC

• Dentist in Marysville, WA
• Providers in Marysville, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.