Coastal Orthodontics, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21731 Issued in MA

Legal business name

COASTAL ORTHODONTICS, PC

Practice address

1 Rebecca Dr
Marion, MA 02738-1296

Phone

(508) 667-2079

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Oliveira, DMD, MSD

Title

Orthodontist

Phone

(508) 667-2079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1588979231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CRANBERRY HWY",
            "address_2": "SUITE 316",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025715021",
            "telephone_number": "508-667-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REBECCA DR",
            "city": "MARION",
            "state": "MA",
            "postal_code": "027381296",
            "telephone_number": "508-667-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "508-667-2079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Carroll
• Latisha Casteel
• Bruce Chall, DDS
• Hannah Foley Chapman, RN, BSN
• Coastal Chiropractic Health, PC
• Lauren Conners, PT, DPT
• Maureen Elizabeth Corrieri, MSW INTERN
• Alicia M Crabbe, DC
• Bethany Lee Cusick, MSW
• Jill P Desa, DNP

• Dental Clinic/Center in Marion, MA
• Providers in Marion, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.