NPIMap

Organization Active NPI

Lea Endodontics, Inc

Doing business as Coastal Endodontics

  • Endodontics
  • Richmond Hill, GA
National Provider Identifier
1225432040
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN013079 Issued in AZ
Legal business name
LEA ENDODONTICS, INC
Doing business as
Coastal Endodontics
Practice address
10220 Ford Ave
Richmond Hill, GA 31324-8825
Phone
(912) 756-5960
Fax
(912) 756-5964
NPI assigned
Oct 22, 2014
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Christopher Lea, DDSNPI 1295783298
Title
Owner
Phone
(912) 756-5960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN013079 AZ Primary

Addresses

Primary practice location

10220 Ford Ave
Richmond Hill, GA 31324-8825

Mailing address

PO Box 1412
Richmond Hill, GA 31324-1412
Phone (912) 756-5960

Other names 1

  • Coastal Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10220 Ford Ave
Richmond Hill, GA 31324
Phone (912) 756-5960

Practitioners & affiliated clinicians

Practitioners 7

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1225432040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1412",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241412",
            "telephone_number": "912-756-5960",
            "fax_number": "912-756-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248825",
            "telephone_number": "912-756-5960",
            "fax_number": "912-756-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA ENDODONTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-756-5960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "DN013079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.