Organization Active NPI

Clear Coast Dental PLLC

  • General Practice Dentistry
  • New Bedford, MA
National Provider Identifier
1972085306
Registry record updated Sep 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLEAR COAST DENTAL PLLC
Practice address
906 Hathaway Road
New Bedford, MA 02740
Phone
(508) 997-1030
NPI assigned
Sep 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2018

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

Authorized official

Name
Michele Anderson
Title
Executive Operations Assistant
Phone
(857) 928-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

906 Hathaway Road
New Bedford, MA 02740

Mailing address

454 E 8TH Street Unit 3
Boston, MA 02127

National Provider Directory

National Provider Directory

Locations

906 Hathaway Rd
New Bedford, MA 02740
Phone (508) 997-1030

Practitioners & affiliated clinicians

Practitioners 3

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": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535760000000",
    "number": "1972085306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E 8TH STREET UNIT 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 HATHAWAY ROAD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-997-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR COAST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE OPERATIONS ASSISTANT",
        "authorized_official_telephone_number": "857-928-2036"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.