NPIMap

Organization Active NPI

Commonwealth of Massachusetts

Doing business as DDS South Coastal Area Office

  • Case Management Agency
  • Quincy, MA
National Provider Identifier
1023140498
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
EXEMPT Issued in NU
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Doing business as
DDS South Coastal Area Office
South Coastal Area Office
Practice address
1900 Crown Colony Drive
Quincy, MA 02169
Phone
(781) 356-8850
Fax
(781) 337-2179
NPI assigned
Mar 12, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONWEALTH OF MASSACHUSETTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dylan Lattimore
Title
Deputy Commissioner for Administrat
Phone
(857) 408-0675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X EXEMPT NU Primary

Addresses

Primary practice location

1900 Crown Colony Drive
Quincy, MA 02169

Mailing address

40 Broad Street
4TH Floor
Boston, MA 02109
Phone (617) 727-5608

Other identifiers 2

IdentifierTypeStateIssuer
110000085SMedicaidMA
1802909MedicaidMA

Other names 2

  • DDS SOUTH COASTAL AREA OFFICE Doing business as
  • South Coastal Area Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Worcester State147 organizations share this tax ID, including this one
Part of
Worcester State

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

40 Broad St
Lbby 4
Boston, MA 02109
Phone (617) 727-5608

1900 Crown Colony Dr
Quincy, MA 02169
Phone (617) 472-5242

1221 Main St
Fl Third
South Weymouth, MA 02190

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1023140498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BROAD STREET",
            "address_2": "4TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02109",
            "telephone_number": "617-727-5608",
            "fax_number": "617-624-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DRIVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02169",
            "telephone_number": "781-356-8850",
            "fax_number": "781-337-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF MASSACHUSETTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF MASSACHUSETTS",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER FOR ADMINISTRAT",
        "authorized_official_telephone_number": "857-408-0675"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000085S",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802909",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS SOUTH COASTAL AREA OFFICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Coastal Area Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.