Active NPI
James Paul Costello, DDS
- Dentist
- The Villages, FL
National Provider Identifier
1457600041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN4281
- Practice address
- 862 Shellbark Way
The Villages, FL 32162-4075 - Phone
- (352) 408-1400
- Fax
- (352) 391-1992
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN4281 | FL | Primary |
Addresses
Primary practice location
862 Shellbark Way
The Villages, FL 32162-4075
Mailing address
862 Shellbark Way
The Villages, FL 32162-4075
Phone (352) 408-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN4281 | FL | MD | Dentist |
| 4281 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1457600041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 SHELLBARK WAY",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321624075",
"telephone_number": "352-408-1400",
"fax_number": "352-391-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 SHELLBARK WAY",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321624075",
"telephone_number": "352-408-1400",
"fax_number": "352-391-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JAMES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN4281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.