John Robert Costello, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

1818 Issued in RI

Practice address

400 Broadway
Newport, RI 02840-1733

Phone

(401) 849-8433

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1093969834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401733",
            "telephone_number": "401-849-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401733",
            "telephone_number": "401-849-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Conroy, CNM
• Ellery Ann Conway
• James Thomas Corbett, DMD
• Brian William Cornell, DPM
• Alexia Costa
• Danielle Renee Coulter, D.C.
• Gary P. Cournoyer, L.I.C.S.W.
• David Eugene Cox, ATC
• Colton Cranson
• Albert Cuaresma, IDC

• Dentist in Newport, RI
• Providers in Newport, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.