Organization Active NPI

Codington LLC

  • Dentist
  • San Mateo, CA
National Provider Identifier
1225574361
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
307478 Issued in CA
Legal business name
CODINGTON LLC
Practice address
424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492
Phone
(650) 772-5642
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Terrence Codington
Title
DDS
Phone
(650) 772-5642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 307478 CA Primary

Addresses

Primary practice location

424 N San Mateo Dr Ste 300
San Mateo, CA 94401-2492

Mailing address

2112 Easton Dr
Burlingame, CA 94010-5636
Phone (650) 772-5642

National Provider Directory

National Provider Directory

Locations

424 N San Mateo Dr
Ste 300
San Mateo, CA 94401
Phone (650) 344-3338

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1225574361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 EASTON DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105636",
            "telephone_number": "650-772-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012492",
            "telephone_number": "650-772-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "CODINGTON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "650-772-5642"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "307478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.