Organization Active NPI

Adrian J. Costanza

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Revere, MA
National Provider Identifier
1356543458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8910 Issued in MA
Legal business name
ADRIAN J. COSTANZA
Practice address
48 Newhall St
Revere, MA 02151-2327
Phone
(781) 289-8050
Fax
(781) 289-8051
NPI assigned
Jun 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adrian Joseph Costanza, DENTIST
Title
Orthodontist
Phone
(978) 774-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8910 MA Primary

Addresses

Primary practice location

48 Newhall St
Revere, MA 02151-2327

Mailing address

48 Newhall St
Revere, MA 02151-2327
Phone (781) 289-8050

National Provider Directory

National Provider Directory
Tax ID family
Adrian J Costanza2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

48 Newhall St
Revere, MA 02151
Phone (781) 284-2090

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356543458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEWHALL ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512327",
            "telephone_number": "781-289-8050",
            "fax_number": "781-289-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEWHALL ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021512327",
            "telephone_number": "781-289-8050",
            "fax_number": "781-289-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN J. COSTANZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTANZA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "978-774-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "8910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.