Joseph W Costa Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17734 Issued in MA

Practice address

227 Russell St
Worcester, MA 01602-2126

Phone

(508) 791-1777

Fax

(508) 792-0244

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hammond Pond Dental Associates

  • General Practice Dentistry
  • Chestnut Hill, MA
  • NPI 1699787663
  NPD (past) Authorized official

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1801868161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022126",
            "telephone_number": "508-791-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 RUSSELL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022126",
            "telephone_number": "508-791-1777",
            "fax_number": "508-792-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN17734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Costa
• Christina Jennie Costa
• Dina J. Costa, CNP
• Fernanda Schwab Costa, RN
• Jennifer M Costa, NP
• Juliana Costa
• Shawn Costa, M.A., COUNSELING PSY
• Mary E Costanza, M.D.
• Anthony Vincent Costella, DPT
• Amy D. Costigan, M.D.

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.