NPIMap

Organization Active NPI

Coastal Foot & Ankle Inc

  • Podiatrist
  • Fall River, MA
National Provider Identifier
1497230171
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COASTAL FOOT & ANKLE INC
Practice address
300 Hanover St Ste 2C
Fall River, MA 02720-5451
Phone
(508) 258-1717
Fax
(774) 365-6272
NPI assigned
Sep 28, 2018
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Jonathan Sabourin, DPMNPI 1306809603
Title
Owner
Phone
(508) 258-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

300 Hanover St Ste 2C
Fall River, MA 02720-5451

Mailing address

300 Hanover St Ste 2C
Fall River, MA 02720-5451
Phone (508) 258-1717

National Provider Directory

National Provider Directory

Locations

300 Hanover St
Ste 2C
Fall River, MA 02720
Phone (401) 849-2157

Practitioners & affiliated clinicians

Practitioners 3

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": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1497230171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST STE 2C",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205451",
            "telephone_number": "508-258-1717",
            "fax_number": "774-365-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST STE 2C",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205451",
            "telephone_number": "508-258-1717",
            "fax_number": "774-365-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FOOT & ANKLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "SABOURIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-258-1717",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.