Crystal Coats

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418385 Issued in VA

Practice address

825 Warrenton Rd
Fredericksburg, VA 22406-1073

Phone

(540) 681-2580

NPI assigned

Oct 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherian Dental PLLC

  • General Practice Dentistry
  • Fredericksburg, VA
  • NPI 1710701842
  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1518682111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WARRENTON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WARRENTON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061073",
            "telephone_number": "540-681-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 M L King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285624247",
            "country_code": "US",
            "telephone_number": "336-253-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATS",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13046",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina N Clohan
• Club Staffing
• Casey Overcash Coates, CRNA
• Eldridge Lee Coates, CRNA
• Anna Grace Coats
• Kendell Nicole Cobb, MPA, PA-C
• Morgan Cobin
• Terry J. Cockrell, LPC, CSAC,
• Francesca N Coello Palmisano, OT
• Rachel Coggins

• General Practice Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.