Heather Arlene Coubrough, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855459 Issued in MA

Practice address

1037 Beacon Street
Suite 2
Brookline, MA 02446

Phone

(617) 738-7210

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Dental Associates, LLC

  • Dental Clinic/Center
  • Brookline, MA
  • NPI 1083317374
  NPD Authorized official
• 42 North Dental Care, LLC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1023387867
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1245541200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162403",
            "telephone_number": "617-262-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 BEACON STREET",
            "address_2": "SUITE 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-738-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUBROUGH",
        "first_name": "HEATHER",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ligia Costa Xavier Burke
• Brynne Kathleen Costa, PHARMD
• Michaela Costello, DPT
• William Patrick Cotrone, PT
• Thomas Cottle
• Janet L. Coupe, PT
• Heather Cournoyer, PHARMD
• Joel David Covitz, ORD.
• Katherine Cox
• Kristen E Craig, MSW, LICSW

• Dentist in Brookline, MA
• Providers in Brookline, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.