Organization Active NPI

Coastline Family Dental LLC

Doing business as Coastline Family Dental

  • Dental Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1205568391
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COASTLINE FAMILY DENTAL LLC
Doing business as
Coastline Family Dental
Practice address
15300 S Jog Rd Ste 210
Delray Beach, FL 33446-2166
Phone
(561) 499-6664
NPI assigned
Jun 27, 2022
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Dr. Ashton Dahms, DMD
Title
President
Phone
(239) 530-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

15300 S Jog Rd Ste 210
Delray Beach, FL 33446-2166

Mailing address

15300 S Jog Rd Ste 210
Delray Beach, FL 33446-2166
Phone (561) 499-6664

Other names 1

  • Coastline Family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.coastlinefamilydental.com/ Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1205568391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-499-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-499-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "DAHMS",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-530-8165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.coastlinefamilydental.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15300 S Jog Rd Ste 210",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334462166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Coastline Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.