NPIMap

Organization Active NPI

DRS. Coakley, Trainor & Mancuso, P.C.

  • General Practice Dentistry
  • Woburn, MA
National Provider Identifier
1184654386
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012419 Issued in MA
Legal business name
DRS. COAKLEY, TRAINOR & MANCUSO, P.C.
Practice address
90 Pleasant St
Woburn, MA 01801-4176
Phone
(781) 935-8810
Fax
(781) 932-8928
NPI assigned
Jul 3, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Louis R Trainor, D.D.S.
Title
President
Phone
(781) 935-8810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 012419 MA Primary

Addresses

Primary practice location

90 Pleasant St
Woburn, MA 01801-4176

Mailing address

90 Pleasant St
Woburn, MA 01801-4176
Phone (781) 935-8810

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1184654386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PLEASANT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014176",
            "telephone_number": "781-935-8810",
            "fax_number": "781-932-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PLEASANT ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014176",
            "telephone_number": "781-935-8810",
            "fax_number": "781-932-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. COAKLEY, TRAINOR & MANCUSO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "TRAINOR",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-935-8810",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "012419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.