Organization Active NPI

Victor B Coates DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Manassas, VA
National Provider Identifier
1902967433
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000741 Issued in VA
Legal business name
VICTOR B COATES DPM PC
Practice address
8709 Professional PL Ste a
Manassas, VA 20110-4424
Phone
(703) 398-9512
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Authorized official

Name
Dr. Victor Brian Coates, DPM
Title
President
Phone
(703) 398-9512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103000741 VA Primary

Addresses

Primary practice location

8709 Professional PL Ste a
Manassas, VA 20110-4424

Mailing address

8709 Professional PL Ste a
Manassas, VA 20110-4424
Phone (703) 398-9512

Other identifiers 2

IdentifierTypeStateIssuer
116980OtherVAANTHEM
009321021MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210982400000",
    "number": "1902967433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 PROFESSIONAL PL STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104424",
            "telephone_number": "703-398-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 PROFESSIONAL PL STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104424",
            "telephone_number": "703-398-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR B COATES DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-05-17",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-398-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "116980",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009321021",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.