Active NPI
Coastal Orthopaedics, PC
- Orthopaedic Surgery Physician
- Norwalk, CT
National Provider Identifier
1669471371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- COASTAL ORTHOPAEDICS, PC
- Practice address
- 761 Main Ave
Suite 115
Norwalk, CT 06851-1080 - Phone
- (203) 845-2200
- Fax
- (203) 847-1940
- NPI assigned
- Jul 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Lyon
- Title
- Executive Director
- Phone
- (203) 845-2069
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
761 Main Ave
Suite 115
Norwalk, CT 06851-1080
Mailing address
761 Main Ave
Suite 115
Norwalk, CT 06851-1080
Phone (203) 845-2200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1669471371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 115",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2200",
"fax_number": "203-847-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE",
"address_2": "SUITE 115",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2200",
"fax_number": "203-847-1940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL ORTHOPAEDICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "LYON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-845-2069"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.