NPIMap

Organization Active NPI

Coddington Dental

  • Dental Clinic/Center
  • Quincy, MA
National Provider Identifier
1457657223
Registry record updated Mar 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CODDINGTON DENTAL
Practice address
59 Coddington St
Suite 102
Quincy, MA 02169-4510
Phone
(617) 328-0099
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2011

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

Authorized official

Name
Jurgina Elezi
Title
Manager
Phone
(617) 328-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

59 Coddington St
Suite 102
Quincy, MA 02169-4510

Mailing address

59 Coddington St
Suite 102
Quincy, MA 02169-4510
Phone (617) 328-0099

National Provider Directory

National Provider Directory
Tax ID family
Coddington Dental2 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

59 Coddington St
Ste 102
Quincy, MA 02169
Phone (617) 328-0099

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301184000000",
    "number": "1457657223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694510",
            "telephone_number": "617-328-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694510",
            "telephone_number": "617-328-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODDINGTON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-03-27",
        "status": "A",
        "authorized_official_last_name": "ELEZI",
        "authorized_official_first_name": "JURGINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-328-0099"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; 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.