Active NPI
John F Coyne, D.M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Brockton, MA
National Provider Identifier
1710903695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 18127
- Practice address
- 951 N Main St
Brockton, MA 02301-1552 - Phone
- (508) 588-0200
- Fax
- (508) 583-6156
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 18127 | MA | Primary |
Addresses
Primary practice location
951 N Main St
Brockton, MA 02301-1552
Mailing address
951 N Main St
Brockton, MA 02301-1552
Phone (508) 588-0200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18127 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1710903695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011552",
"telephone_number": "508-588-0200",
"fax_number": "508-583-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 N MAIN ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011552",
"telephone_number": "508-588-0200",
"fax_number": "508-583-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "JOHN",
"middle_name": "F",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MA",
"license": "18127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.