NPIMap

Organization Active NPI

Robert Vance Costello, DDS, Apdc

  • Dentist
  • Farmerville, LA
National Provider Identifier
1992038467
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5630 Issued in LA
Legal business name
ROBERT VANCE COSTELLO, DDS, APDC
Practice address
7699 Highway 2
Farmerville, LA 71241-6165
Phone
(318) 368-9518
Fax
(318) 368-4480
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Carla Costello
Title
Office Manager
Phone
(318) 368-9518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5630 LA Primary

Addresses

Primary practice location

7699 Highway 2
Farmerville, LA 71241-6165

Mailing address

7699 Highway 2
Farmerville, LA 71241-6165
Phone (318) 368-9518

National Provider Directory

National Provider Directory

Locations

7699 Highway 2
Farmerville, LA 71241
Phone (318) 368-9518

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1992038467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 HIGHWAY 2",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712416165",
            "telephone_number": "318-368-9518",
            "fax_number": "318-368-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 HIGHWAY 2",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712416165",
            "telephone_number": "318-368-9518",
            "fax_number": "318-368-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT VANCE COSTELLO, DDS, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-368-9518"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.