Organization Active NPI

Coastal Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • New Canaan, CT
National Provider Identifier
1780021725
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COASTAL ORTHOPAEDICS, PC
Practice address
30 East Ave
New Canaan, CT 06840-5516
Phone
(203) 845-2200
Fax
(203) 847-1940
NPI assigned
May 31, 2013
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
COASTAL ORTHOPAEDICS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Richard C Lyon
Title
Executive Director
Phone
(203) 845-2200

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X CT Primary
Orthopaedic Hand Surgery Physician 207XS0106X CT
Orthopaedic Surgery of the Spine Physician 207XS0117X CT
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X CT
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X CT
Orthopaedic Trauma Physician 207XX0801X CT
Interventional Pain Medicine Physician 208VP0014X CT
Pediatric Orthopaedic Surgery Physician 207XP3100X CT

Addresses

Primary practice location

30 East Ave
New Canaan, CT 06840-5516

Mailing address

761 Main Ave
Suite 300
Norwalk, CT 06851-1080
Phone (203) 845-2200

National Provider Directory

National Provider Directory
Part of
Coastal Orthopaedics

Locations

40 Cross St
Ste 300
Norwalk, CT 06851
Phone (203) 229-2000

761 Main Ave
Ste 300
Norwalk, CT 06851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1780021725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE",
            "address_2": "SUITE 300",
            "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": "30 EAST AVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405516",
            "telephone_number": "203-845-2200",
            "fax_number": "203-847-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPAEDICS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL ORTHOPAEDICS, PC",
        "enumeration_date": "2013-05-31",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-845-2200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, 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.

Verify at the official NPI Registry.