Organization Active NPI

Coastal Dental Seekonk, LLC

  • General Practice Dentistry
  • Seekonk, MA
National Provider Identifier
1356850044
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COASTAL DENTAL SEEKONK, LLC
Practice address
21 Brook St Ste 8
Seekonk, MA 02771-4504
Phone
(508) 399-7073
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jennifer Kuchar, DMD
Title
Owner/Dentist
Phone
(773) 931-2196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

21 Brook St Ste 8
Seekonk, MA 02771-4504

Mailing address

21 Brook St Ste 8
Seekonk, MA 02771-4504
Phone (508) 399-7073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356850044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BROOK ST STE 8",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714504",
            "telephone_number": "508-399-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BROOK ST STE 8",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027714504",
            "telephone_number": "508-399-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DENTAL SEEKONK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUCHAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "773-931-2196",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.