Active NPI
Robert Gordon Coseo, DDS
- General Practice Dentistry
- Hyannis, MA
National Provider Identifier
1710180187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12732
- Practice address
- 65 Camp St
Hyannis, MA 02601-3006 - Phone
- (508) 775-9977
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12732 | MA | Primary |
| General Practice Dentistry | 1223G0001X | DN 14276 | FL |
Addresses
Primary practice location
65 Camp St
Hyannis, MA 02601-3006
Mailing address
24 Thacher Shore Rd
Yarmouth Port, MA 02675-1124
Phone (774) 994-1068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 14276 | FL | MD | General Practice Dentistry |
| 12732 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panther Hollow Family Dental PA | General Practice | Past | Accepting new patients |
| Panther Hollow Dental Lodge, PL | General Practice | Past | Accepting new patients |
| Robert G Coseo DDS Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hyannis, MA
- NPI 1497901482
-
- General Practice Dentistry
- Port Charlotte, FL
- NPI 1265671887
-
dba Panther Hollow Dental Lodge
- General Practice Dentistry
- Port Charlotte, FL
- NPI 1104491877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710180187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 THACHER SHORE RD",
"city": "YARMOUTH PORT",
"state": "MA",
"postal_code": "026751124",
"telephone_number": "774-994-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CAMP ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013006",
"telephone_number": "508-775-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSEO",
"first_name": "ROBERT",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "12732",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 14276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.