Organization Active NPI

Coastline Dental Implants PLLC

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1629800263
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COASTLINE DENTAL IMPLANTS PLLC
Practice address
15300 S Jog Rd Ste 211
Delray Beach, FL 33446-2166
Phone
(561) 499-6664
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Ashton Dahms, DMDNPI 1326615949
Title
President
Phone
(239) 530-8165

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15300 S Jog Rd Ste 211
Delray Beach, FL 33446-2166

Mailing address

15300 S Jog Rd Ste 210
Delray Beach, FL 33446-2166
Phone (239) 530-8165

Other names 1

  • Coastline Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

15300 S Jog Rd
Ste 210
Delray Beach, FL 33446
Phone (561) 499-6664

15300 S Jog Rd
Ste 211
Delray Beach, FL 33446
Phone (561) 499-6664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1629800263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 210",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "239-530-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 211",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-499-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE DENTAL IMPLANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "DAHMS",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-530-8165",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.