NPIMap

Organization Active NPI

Coppe Pediatric Dentistry

  • Dental Clinic/Center
  • Lexington, MA
National Provider Identifier
1154758084
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11347 Issued in MA
Legal business name
COPPE PEDIATRIC DENTISTRY
Practice address
19 Muzzey St
Suite 6
Lexington, MA 02421-5256
Phone
(781) 861-6120
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Carolyn CoppeNPI 1881863710
Title
Account Manager
Phone
(781) 861-6120

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11347 MA Primary
Multi-Specialty Clinic/Center 261QM1300X 11347 MA

Addresses

Primary practice location

19 Muzzey St
Suite 6
Lexington, MA 02421-5256

Mailing address

19 Muzzey Street
Suite 6
Lexington, MA 02421
Phone (781) 861-6120

National Provider Directory

National Provider Directory

Locations

19 Muzzey St
Ste 6
Lexington, MA 02421
Phone (781) 861-6120

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": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1154758084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MUZZEY STREET",
            "address_2": "SUITE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02421",
            "telephone_number": "781-861-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST",
            "address_2": "SUITE 6",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215256",
            "telephone_number": "781-861-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "COPPE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "781-861-6120"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "11347",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": "11347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.