Organization Active NPI

Coastal Spine Institute PC

  • Specialist
  • Supply, NC
National Provider Identifier
1346704145
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COASTAL SPINE INSTITUTE PC
Practice address
610 Ocean Hwy W
Supply, NC 28462
Phone
(910) 356-6100
NPI assigned
Jan 25, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Kevin CahillNPI 1811157613
Title
MD / Owner
Phone
(617) 459-5890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

610 Ocean Hwy W
Supply, NC 28462

Mailing address

610 Ocean Hwy W
Supply, NC 28462-4048
Phone (910) 356-6100

Other practice location 1

2002 Eastwood Rd Ste 106A
Wilmington, NC 28403-7202
Phone (617) 459-5890

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1346704145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624048",
            "telephone_number": "910-356-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "28462",
            "telephone_number": "910-356-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Eastwood Rd Ste 106A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284037202",
            "country_code": "US",
            "telephone_number": "617-459-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SPINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "617-459-5890"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.