Active NPI
Brian Frederick Coats, D.D.S.
- General Practice Dentistry
- Longmont, CO
National Provider Identifier
1275502924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6915
- Practice address
- 1305 Sumner St
Suite 300
Longmont, CO 80501-3271 - Phone
- (303) 776-4090
- NPI assigned
- Mar 15, 2006
- Last updated
- May 12, 2017
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170629002877 | CO | Order and Referring Only - Dentist | 0143536334 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6915 | CO | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.