Amanda Christine Costello Riordan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859812 Issued in MA

Practice address

540 Gallivan Blvd
Boston, MA 02124-5400

Phone

(617) 265-8393

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Amanda a. Cardinale, DMD, PLLC

  • General Practice Dentistry
  • Dedham, MA
  • NPI 1043031727
  NPD (past)
• Dedham Dentist, P.C.

  • General Practice Dentistry
  • Dedham, MA
  • NPI 1801806138
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1992497887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LAGRANGE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323266",
            "telephone_number": "339-203-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GALLIVAN BLVD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021245400",
            "telephone_number": "617-265-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020261737",
            "country_code": "US",
            "telephone_number": "781-329-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO RIORDAN",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L Costantino, MD
• Tracey Anne Costantino, NP
• Thao L Costanza, AGPCNP
• Mark A Costanzo, NP
• Karen C Costas, RD
• Casey Elizabeth Costello
• Daniel J Costello, M.D.
• Eileen Mary Costello, MD
• Eileen Meghan Costello, MSN, RN, CPN,CPNP-PC
• Erin T Costello, R.N.

• General Practice Dentistry in Boston, MA
• Providers in Boston, 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 Jun 28, 2023; 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.