Active NPI
Adrian J. Costanza
- Orthodontics and Dentofacial Orthopedics Dentistry
- Revere, MA
National Provider Identifier
1356543458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8910
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Costanza
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Danvers, MA
- NPI 1326249616
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.