Active NPI
Ryan Wesley Coe, RDH
- Dental Hygienist
- Novato, CA
National Provider Identifier
1194295485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 31368
- Practice address
- 6090 Redwood Blvd
Novato, CA 94945-4569 - Phone
- (415) 448-1500
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31368 | CA | Primary |
Addresses
Primary practice location
6090 Redwood Blvd
Novato, CA 94945-4569
Mailing address
5 Bayharbor Way
San Rafael, CA 94901-2586
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 |
|---|---|---|---|
| 31368 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1194295485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BAYHARBOR WAY",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454569",
"telephone_number": "415-448-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COE",
"first_name": "RYAN",
"middle_name": "WESLEY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "31368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.