Coastal Health Alliance

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COASTAL HEALTH ALLIANCE

Practice address

65 Third Street
Suite 13
Point Reyes Station, CA 94956

Phone

(415) 787-1123

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Dinelle Marie Abram

Title

Administrative Assistant

Phone

(415) 663-8781

Specialties & licenses 1

Addresses

Other names 1

• Point Reyes Medical Clinic Doing business as

Practitioners 2

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

• Kira Gentle Barron, DMD

  • Student in an Organized Health Care Education/Training Program
  • Point Reyes Station, CA
  • NPI 1356801666
  NPD (past)
• Leslie McGarvey

  • Dentist
  • Guerneville, CA
  • NPI 1508232497
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1083179360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949560910",
            "telephone_number": "415-663-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 THIRD STREET",
            "address_2": "SUITE 13",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-787-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "DINELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "415-663-8781"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Point Reyes Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kira Gentle Barron, DMD
• Zsuzsanna Biran, R.PH.
• Ramiro Campos
• Carolyn Ruth Chase, RN, NP
• Ellen M. Christiansen, MSN, FNP
• Coastal Health Alliance
• Coastal Health Alliance
• Colin Hamblin, a Professional Medical Corporation
• County of Marin
• Craig Douglas Crispin, D.D.S.

• Dental Clinic/Center in Point Reyes Station, CA
• Providers in Point Reyes Station, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.