Coastal Craftsman Builders, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

COASTAL CRAFTSMAN BUILDERS, LLC

Practice address

2246 Sand Hill Dr
Cape Charles, VA 23310-1960

Phone

(757) 331-3469

Fax

(757) 331-3469

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Robin Simms

Title

Owner/Office Manager/Member

Phone

(757) 331-3469

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1346487899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 SAND HILL DR",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233101960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 SAND HILL DR",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233101960",
            "telephone_number": "757-331-3469",
            "fax_number": "757-331-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CRAFTSMAN BUILDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER/MEMBER",
        "authorized_official_telephone_number": "757-331-3469"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Annelise Cade, MA CCC-SLP
• Jennifer Brooke Callahan
• Cape Charles Medical Center
• Cape Charles Rescue Service Inc
• Mark Gregory Clarke
• Rebecca Ellen Creed, LCSW
• Carma Turlington Dabinett
• David Fred Dalessio, DO
• Eastern Shore Rural Health System Incorporated
• Focus Optical Boutique LLC

• All providers in Cape Charles, VA
• Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.