John Patrick Costello, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN1857197 Issued in MA

Practice address

129 Highland Ave
Salem, MA 01970-2774

Phone

(978) 744-7575

NPI assigned

May 30, 2016

Last updated

May 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burba Dental Partners

  • Dentist
  • Salem, MA
  • NPI 1336335298
  NPD (past)

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1346698420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702774",
            "telephone_number": "978-744-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylin Cordes
• Kristin Cordy
• Joshua Seth Corpuz, MSN, AGACNP-BC
• Kathleen A Corrigan, NP
• Mikaela Ryann Coskren, LMHC
• Katherine Michelle Costello
• Michael Eugene Cothern, PA-C
• Margaret Buell Couch, MS, RDN, LDN, CNSC
• Abigail Coughlin
• Chantal C. Coughlin, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.