Organization Active NPI

Charles T Brand DMD Richard G Coslett DMD PC

  • General Practice Dentistry
  • Shavertown, PA
National Provider Identifier
1811075104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLES T BRAND DMD RICHARD G COSLETT DMD PC
Practice address
121 S Memorial Hwy
Shavertown, PA 18708
Phone
(570) 696-3868
Fax
(570) 696-3541
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles T Brand, DMDNPI 1356608764
Title
Dentist
Phone
(570) 696-3869

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

121 S Memorial Hwy
Shavertown, PA 18708

Mailing address

121 S Memorial Hwy
Shavertown, PA 18708
Phone (570) 696-3868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811075104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "18708",
            "telephone_number": "570-696-3868",
            "fax_number": "570-696-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MEMORIAL HWY",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "18708",
            "telephone_number": "570-696-3868",
            "fax_number": "570-696-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T BRAND DMD RICHARD G COSLETT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-696-3869",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.