Individual provider Active NPI

Brian Frederick Coats, D.D.S.

  • General Practice Dentistry
  • Longmont, CO
National Provider Identifier
1275502924
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6915 Issued in CO
Practice address
1305 Sumner St
Suite 300
Longmont, CO 80501-3271
Phone
(303) 776-4090
NPI assigned
Mar 15, 2006
Last updated
May 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6915 CO Primary

Addresses

Primary practice location

1305 Sumner St
Suite 300
Longmont, CO 80501-3271

Mailing address

1305 Sumner St
Suite 300
Longmont, CO 80501-3271
Phone (303) 776-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002877 CO Order and Referring Only - DentistPractitioner - Dentist 0143536334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6915COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1275502924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SUMNER ST",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013271",
            "telephone_number": "303-776-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SUMNER ST",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013271",
            "telephone_number": "303-776-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "BRIAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.