Active NPI
Matthew Jonathan Coats, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tomball, TX
National Provider Identifier
1205940384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 15970
- Practice address
- 1017 W Main St
Tomball, TX 77375-5525 - Phone
- (281) 255-4746
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 15970 | TX | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 60464 | CA |
Addresses
Primary practice location
1017 W Main St
Tomball, TX 77375-5525
Mailing address
1017 W Main St
Tomball, TX 77375-5525
Phone (281) 255-4746
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15970 | TX | MD | Mental Health Counselor |
| 60464 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Interoperability endpoints
- mcoats@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1205940384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755525",
"telephone_number": "281-255-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755525",
"telephone_number": "281-255-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATS",
"first_name": "MATTHEW",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "15970",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "60464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.