NPIMap

Organization Active NPI

Kenneth N Coates

  • Podiatrist
  • Colorado SPGS, CO
National Provider Identifier
1770755183
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
393 Issued in CO
Legal business name
KENNETH N COATES
Practice address
1512 N Union Blvd
Ste 100
Colorado SPGS, CO 80909-2884
Phone
(719) 632-7878
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Kenneth N CoatesNPI 1376606392
Title
Owner
Phone
(719) 632-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 393 CO Primary

Addresses

Primary practice location

1512 N Union Blvd
Ste 100
Colorado SPGS, CO 80909-2884

Mailing address

1512 N Union Blvd
Ste 100
Colorado SPGS, CO 80909-2884
Phone (719) 632-7878

National Provider Directory

National Provider Directory

Locations

1512 N Union Blvd
Ste 100
Colorado Springs, CO 80909
Phone (719) 574-0181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1770755183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N UNION BLVD",
            "address_2": "STE 100",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809092884",
            "telephone_number": "719-632-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N UNION BLVD",
            "address_2": "STE 100",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809092884",
            "telephone_number": "719-632-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH N COATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-632-7878"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.