Organization Active NPI

Capeside Oral&Facial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Falmouth, MA
National Provider Identifier
1790149987
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN1855054 Issued in MA
Legal business name
CAPESIDE ORAL&FACIAL SURGERY, INC.
Practice address
362 Gifford St
Falmouth, MA 02540-2912
Phone
(508) 645-6576
Fax
(508) 645-6580
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Nathan James Latimer, DDS,MDNPI 1053584771
Title
Owner
Phone
(508) 645-6576

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DN1855054 MA Primary

Addresses

Primary practice location

362 Gifford St
Falmouth, MA 02540-2912

Mailing address

362 Gifford St
Falmouth, MA 02540-2912
Phone (508) 645-6576

National Provider Directory

National Provider Directory

Locations

362 Gifford St
Falmouth, MA 02540
Phone (508) 645-6576

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1790149987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402912",
            "telephone_number": "508-645-6576",
            "fax_number": "508-645-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402912",
            "telephone_number": "508-645-6576",
            "fax_number": "508-645-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPESIDE ORAL&FACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "LATIMER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-645-6576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.