Organization Active NPI

Dr. Brooke Coates PS

  • Clinic/Center
  • Tacoma, WA
National Provider Identifier
1609069012
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH00003199 Issued in WA
Legal business name
DR. BROOKE COATES PS
Practice address
2627 N 21St St
Tacoma, WA 98406-7517
Phone
(253) 756-9990
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Brooke Coates, DCNPI 1750426706
Title
Owner
Phone
(253) 756-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH00003199 WA Primary

Addresses

Primary practice location

2627 N 21St St
Tacoma, WA 98406-7517

Mailing address

2627 N 21St St
Tacoma, WA 98406-7517
Phone (253) 756-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000644 WA Part B Supplier - Clinic/Group Practice 7012901788 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

2627 N 21st St
Tacoma, WA 98406
Phone (253) 756-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1609069012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 N 21ST ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067517",
            "telephone_number": "253-756-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 N 21ST ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984067517",
            "telephone_number": "253-756-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BROOKE COATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-756-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00003199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.